Healthcare Provider Details

I. General information

NPI: 1073424792
Provider Name (Legal Business Name): ELIZABETH SCHLYER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4170 CITY AVE
PHILADELPHIA PA
19131-1610
US

IV. Provider business mailing address

1826 PINE ST APT 4
PHILADELPHIA PA
19103-6687
US

V. Phone/Fax

Practice location:
  • Phone: 530-305-9156
  • Fax:
Mailing address:
  • Phone: 530-305-9156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: