Provider Demographics
NPI:1508001132
Name:SCHACHT, LAURA JEANNE (NEONATAL NUSE PRACTI)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JEANNE
Last Name:SCHACHT
Suffix:
Gender:F
Credentials:NEONATAL NUSE PRACTI
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:JEANNE
Other - Last Name:SCHACHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NEONATAL NUSE PRACTI
Mailing Address - Street 1:601 CHILDRENS LANE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507
Mailing Address - Country:US
Mailing Address - Phone:757-668-7456
Mailing Address - Fax:757-668-9255
Practice Address - Street 1:601 CHILDRENS LANE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:757-668-7456
Practice Address - Fax:757-668-9255
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164182363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal