Provider Demographics
NPI:1306389853
Name:SCHNAUFER, JOSEY (PA-C)
Entity Type:Individual
Prefix:
First Name:JOSEY
Middle Name:
Last Name:SCHNAUFER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 E SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-3512
Mailing Address - Country:US
Mailing Address - Phone:719-547-9119
Mailing Address - Fax:719-547-7555
Practice Address - Street 1:1315 FORTINO BLVD STE C
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1981
Practice Address - Country:US
Practice Address - Phone:719-544-2740
Practice Address - Fax:844-273-9854
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0004910363AS0400X
CO4910363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical