Provider Demographics
NPI:1437696705
Name:SCHAEFER, MAURA EILEEN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:EILEEN
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:EILEEN
Other - Last Name:DOBROVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4079 CROOKED CREEK PATH
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-2069
Mailing Address - Country:US
Mailing Address - Phone:216-287-0634
Mailing Address - Fax:
Practice Address - Street 1:1604 ROCK PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8343
Practice Address - Country:US
Practice Address - Phone:979-764-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019655367500000X
TX1070793367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered