Provider Demographics
NPI:1598886491
Name:SCHEFFT, GEORGIA LOUISE (RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:GEORGIA
Middle Name:LOUISE
Last Name:SCHEFFT
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:904 LILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-2046
Mailing Address - Country:US
Mailing Address - Phone:618-345-4712
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:NWT 8TH FLOOR
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-2397
Practice Address - Fax:314-454-4633
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO083890363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics