Healthcare Provider Details

I. General information

NPI: 1023556867
Provider Name (Legal Business Name): DANIELLE REINE SCHAAF FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE REINE WEYDERT

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PAGEANT LN STE 307
CLARKSVILLE TN
37040-3813
US

IV. Provider business mailing address

350 PAGEANT LN STE 307
CLARKSVILLE TN
37040-3813
US

V. Phone/Fax

Practice location:
  • Phone: 931-906-2001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP133136
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0001619-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number32048
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: