Provider Demographics
NPI:1760473318
Name:SCHAEFFER, ANN MEREDITH (CNM)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MEREDITH
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 LUCY DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8036
Mailing Address - Country:US
Mailing Address - Phone:540-438-1314
Mailing Address - Fax:
Practice Address - Street 1:240 LUCY DR
Practice Address - Street 2:STE B
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8036
Practice Address - Country:US
Practice Address - Phone:540-438-1314
Practice Address - Fax:540-438-0797
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164661367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007794321Medicaid
P86449Medicare UPIN
VA001219568Medicare ID - Type Unspecified