Provider Demographics
NPI:1013132968
Name:SCHAFFER, CHERENE KAY (LPN CLTC)
Entity Type:Individual
Prefix:MRS
First Name:CHERENE
Middle Name:KAY
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:LPN CLTC
Other - Prefix:MISS
Other - First Name:CHERENE
Other - Middle Name:KAY
Other - Last Name:SOUERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1821 S ROCKHILL AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601
Mailing Address - Country:US
Mailing Address - Phone:330-821-9284
Mailing Address - Fax:
Practice Address - Street 1:1821 S ROCKHILL AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601
Practice Address - Country:US
Practice Address - Phone:330-821-9284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN022616164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse