Provider Demographics
NPI:1942893235
Name:SCHAFFNER, PRIYA RAMAMURTHY (FNP-C)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:RAMAMURTHY
Last Name:SCHAFFNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:PRIYA
Other - Middle Name:
Other - Last Name:RAMAMURTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3527 MEMORIAL DR
Mailing Address - Street 2:UNIT W
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-2731
Mailing Address - Country:US
Mailing Address - Phone:734-751-3835
Mailing Address - Fax:
Practice Address - Street 1:3527 MEMORIAL DR UNIT W
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-2731
Practice Address - Country:US
Practice Address - Phone:404-334-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-17
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN281128363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily