Healthcare Provider Details
I. General information
NPI: 1093330169
Provider Name (Legal Business Name): ELIZABETH J SCHATZMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6327 16TH AVE S
RICHFIELD MN
55423-1747
US
IV. Provider business mailing address
6327 16TH AVE S
RICHFIELD MN
55423-1747
US
V. Phone/Fax
- Phone: 215-892-5327
- Fax:
- Phone: 215-892-5327
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | MA061553 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 14568 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: