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NPI Code Detail

MEDICARE: REBECCA M SCHAFER RN, NP

MEDICARE:   REBECCA M SCHAFER  RN, NP
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 Practitioner2004026185MO

General Provider Information

NPI Number : 1558533984
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA M SCHAFER RN, NP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 615-314-5257
Fax Number :
Provider Business Practice Location Address
First Line : 11605 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-4201
Country : US
Telephone Number : 816-579-6891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2008
Last Update Date : 12/06/2022

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Directions to “ REBECCA M SCHAFER RN, NP” Practice Location

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