MEDICARE: ANGELA MARIE SCHAFER

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	207P00000X	Emergency Medicine Physician	57583	TN
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207P00000X	Emergency Medicine Physician	84127	SC

General Provider Information

NPI Number	:	1134516727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE SCHAFER

Provider Business Mailing Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:	SUITE 30330
City	:	NASHVILLE
State	:	TN
Zip	:	37232-5100
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

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

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	04/20/2026

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