Provider Demographics
NPI:1598035446
Name:SCHAFFER-EDWARDS, BRENDA (BSN,RN-BC)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:SCHAFFER-EDWARDS
Suffix:
Gender:F
Credentials:BSN,RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1430
Mailing Address - Country:US
Mailing Address - Phone:814-371-3868
Mailing Address - Fax:
Practice Address - Street 1:5753 SHAFFER RD
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3873
Practice Address - Country:US
Practice Address - Phone:814-375-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN504593L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse