Provider Demographics
NPI:1972533073
Name:SCHOTTER, GAIL E (RNFA)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:SCHOTTER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4125 S WYANDOTTE CAVE RD
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47145-7539
Mailing Address - Country:US
Mailing Address - Phone:812-633-4818
Mailing Address - Fax:812-633-2143
Practice Address - Street 1:4125 S WYANDOTTE CAVE RD
Practice Address - Street 2:
Practice Address - City:MILLTOWN
Practice Address - State:IN
Practice Address - Zip Code:47145-7539
Practice Address - Country:US
Practice Address - Phone:812-633-4818
Practice Address - Fax:812-633-2143
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY1076470363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical