Provider Demographics
NPI:1548725278
Name:SCHAFER, RENEE (APRN)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4498 SW 102ND LANE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4141
Mailing Address - Country:US
Mailing Address - Phone:352-201-2909
Mailing Address - Fax:
Practice Address - Street 1:8575 NE 138TH LN
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8996
Practice Address - Country:US
Practice Address - Phone:352-674-2080
Practice Address - Fax:352-674-2178
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001210363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health