Provider Demographics
NPI:1558404376
Name:ALGER SCHAUFFELE, TOMA F (MS, APRN, CWOCN, CWS)
Entity Type:Individual
Prefix:MS
First Name:TOMA
Middle Name:F
Last Name:ALGER SCHAUFFELE
Suffix:
Gender:F
Credentials:MS, APRN, CWOCN, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-1252
Mailing Address - Country:US
Mailing Address - Phone:307-630-7451
Mailing Address - Fax:307-634-5023
Practice Address - Street 1:322 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-1252
Practice Address - Country:US
Practice Address - Phone:307-630-7451
Practice Address - Fax:307-634-5023
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYQ30757Medicare UPIN
WY10487Medicare ID - Type Unspecified