Provider Demographics
NPI:1184850166
Name:SCHAFFTER-CHAUDHRY, JUDITH ELISE (ARNP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ELISE
Last Name:SCHAFFTER-CHAUDHRY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 SILVERMILL LOOP
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6071
Mailing Address - Country:US
Mailing Address - Phone:813-830-8571
Mailing Address - Fax:
Practice Address - Street 1:13610 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4650
Practice Address - Country:US
Practice Address - Phone:813-909-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9185887163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9185887OtherLICENSE NUMBER