Provider Demographics
NPI:1760709083
Name:SCHOFNER, HEATHER RENE' (LPN)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:RENE'
Last Name:SCHOFNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6429 FREDRICKS RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9450
Mailing Address - Country:US
Mailing Address - Phone:740-505-4056
Mailing Address - Fax:
Practice Address - Street 1:6429 FREDRICKS RD
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-9450
Practice Address - Country:US
Practice Address - Phone:740-505-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INPN. 100237164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse