Healthcare Provider Details

I. General information

NPI: 1538704333
Provider Name (Legal Business Name): ELIZABETH SCHAEFER APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

721 MIAMI CHAPEL RD
DAYTON OH
45417-4650
US

V. Phone/Fax

Practice location:
  • Phone: 614-688-8530
  • Fax: 614-366-8772
Mailing address:
  • Phone: 937-281-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.0028049
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.0019463
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.458383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: