Provider Demographics
NPI:1497183958
Name:SCHLABACH, NAOMI F (ARNP)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:F
Last Name:SCHLABACH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:F
Other - Last Name:MILLER SCHLABACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7675
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34278-7675
Mailing Address - Country:US
Mailing Address - Phone:941-685-3589
Mailing Address - Fax:
Practice Address - Street 1:5885 IBIS ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34241-9282
Practice Address - Country:US
Practice Address - Phone:941-685-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2077502364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health