Provider Demographics
NPI:1154317477
Name:SCHIEFFER, LORRAINE (NP, APRN)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:SCHIEFFER
Suffix:
Gender:F
Credentials:NP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 N 3RD ST
Mailing Address - Street 2:SUITE 4020
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1130
Mailing Address - Country:US
Mailing Address - Phone:602-323-3345
Mailing Address - Fax:602-323-3399
Practice Address - Street 1:5517 N 17TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2516
Practice Address - Country:US
Practice Address - Phone:602-243-7277
Practice Address - Fax:602-323-3399
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2015-05-14
Deactivation Date:2006-01-20
Deactivation Code:
Reactivation Date:2012-10-10
Provider Licenses
StateLicense IDTaxonomies
CT002440363L00000X
AZAP2238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004245975Medicaid
CT2V4918OtherHEALTHNET
CT526426OtherCONNECTICARE
CT2V4918OtherHEALTHNET
CT526426OtherCONNECTICARE