Healthcare Provider Details

I. General information

NPI: 1225804370
Provider Name (Legal Business Name): TESS ELIZABETH SCHAFER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2023
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N 4TH ST STE 1
OAKLAND MD
21550-1371
US

IV. Provider business mailing address

117R SALISBURY ST
MEYERSDALE PA
15552-1411
US

V. Phone/Fax

Practice location:
  • Phone: 310-334-7855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR263497
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: