Healthcare Provider Details

I. General information

NPI: 1245669464
Provider Name (Legal Business Name): VERONICA SCHOFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA LENZ

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PELHAM RD
GREENVILLE SC
29615-3300
US

IV. Provider business mailing address

800 PELHAM RD
GREENVILLE SC
29615-3300
US

V. Phone/Fax

Practice location:
  • Phone: 864-234-5800
  • Fax:
Mailing address:
  • Phone: 864-234-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number222150
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9294630
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number18567
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: