MEDICARE: ERIN E SCHEFFER NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	234657	AR
2	363LF0000X	Family Nurse Practitioner	10004-33	WI

General Provider Information

NPI Number	:	1003426354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN E SCHEFFER NP-C

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:	479-616-1485
Fax Number	:	479-239-0536

Provider Business Practice Location Address
First Line	:	2012 S PROMENADE BLVD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-9073
Country	:	US
Telephone Number	:	479-616-1485
Fax Number	:	479-239-0536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2020
Last Update Date	:	12/23/2025

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