Provider Demographics
NPI:1235814484
Name:SCHAFER, STEPHANIE HUNTER (FNP-C, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:HUNTER
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:FNP-C, IBCLC
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:TOLLISON
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:24 STROUP CT
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:SC
Mailing Address - Zip Code:29384-3639
Mailing Address - Country:US
Mailing Address - Phone:864-981-5608
Mailing Address - Fax:
Practice Address - Street 1:113 LINER DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2311
Practice Address - Country:US
Practice Address - Phone:864-981-8170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC224678163WL0100X
SCAPN.27492208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant