Provider Demographics
NPI:1346232337
Name:HART-SCHAFFER, LOUANN (ARNP)
Entity Type:Individual
Prefix:
First Name:LOUANN
Middle Name:
Last Name:HART-SCHAFFER
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:PO BOX 71602
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-0602
Mailing Address - Country:US
Mailing Address - Phone:515-243-2057
Mailing Address - Fax:515-244-5570
Practice Address - Street 1:1221 CENTER ST
Practice Address - Street 2:SUITE 25
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1002
Practice Address - Country:US
Practice Address - Phone:515-244-3700
Practice Address - Fax:515-244-4720
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092938163W00000X
IAA-092938363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI21731Medicare PIN
S98167Medicare UPIN