Healthcare Provider Details

I. General information

NPI: 1750356358
Provider Name (Legal Business Name): KRISTA L SCHOFIELD PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 WARRIOR DR
STEPHENS CITY VA
22655-4044
US

IV. Provider business mailing address

160 WARRIOR DR
STEPHENS CITY VA
22655-4044
US

V. Phone/Fax

Practice location:
  • Phone: 540-868-4100
  • Fax:
Mailing address:
  • Phone: 540-868-4100
  • Fax: 540-868-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0110001497
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: