Provider Demographics
NPI:1043509938
Name:SCHAFFNER, KRISTIN MARIE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:MARIE
Last Name:SCHAFFNER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 JAMES WOODS CT
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-1463
Mailing Address - Country:US
Mailing Address - Phone:201-888-8435
Mailing Address - Fax:
Practice Address - Street 1:392 JAMES WOODS CT
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-1463
Practice Address - Country:US
Practice Address - Phone:201-888-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00372300363LA2100X
NY430583363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care