Provider Demographics
NPI:1760837025
Name:SCHAFFER, ADELINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ADELINE
Middle Name:
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3047 DEL RIO DR
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1703
Mailing Address - Country:US
Mailing Address - Phone:727-365-2954
Mailing Address - Fax:
Practice Address - Street 1:3047 DEL RIO DR
Practice Address - Street 2:
Practice Address - City:BELLEAIR BLUFFS
Practice Address - State:FL
Practice Address - Zip Code:33770-1703
Practice Address - Country:US
Practice Address - Phone:727-365-2954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-24
Last Update Date:2016-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9175588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily