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NPI Code Detail

MEDICARE: HALIE SCHAFFER APN

MEDICARE:   HALIE  SCHAFFER  APN
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
1363LF0000XFamily Nurse PractitionerATP000249AR

General Provider Information

NPI Number : 1194048876
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALIE SCHAFFER APN
Provider Business Mailing Address
First Line : 612 S 12TH ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-4702
Country : US
Telephone Number : 479-785-2431
Fax Number : 479-494-7787
Provider Business Practice Location Address
First Line : 612 S 12TH ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-4702
Country : US
Telephone Number : 479-785-2431
Fax Number : 479-494-7787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/09/2010

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