Healthcare Provider Details

I. General information

NPI: 1568415784
Provider Name (Legal Business Name): JUDY LYNN SCHATTNER MS.RN.CS.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 KING GEORGE LOOP
CARY NC
27511-6322
US

IV. Provider business mailing address

308 KING GEORGE LOOP
CARY NC
27511-6322
US

V. Phone/Fax

Practice location:
  • Phone: 919-469-2992
  • Fax:
Mailing address:
  • Phone: 919-469-2992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number055003
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: