Provider Demographics
NPI:1467756668
Name:SCHAFER, LAUREN MICHELLE (RN,PNP- BC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MICHELLE
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:RN,PNP- BC
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Mailing Address - Street 1:199 PECAN CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:GUNTER
Mailing Address - State:TX
Mailing Address - Zip Code:75058-3220
Mailing Address - Country:US
Mailing Address - Phone:903-433-2330
Mailing Address - Fax:903-433-2338
Practice Address - Street 1:3401 PRESTON RD
Practice Address - Street 2:SUITE 11
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9007
Practice Address - Country:US
Practice Address - Phone:214-618-3920
Practice Address - Fax:214-618-3921
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX666689363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282109201Medicaid
TX282109202Medicaid
TX282109203Medicaid
TXTXB130039Medicare PIN
TXTXB130034Medicare PIN
TX282109202Medicaid