Provider Demographics
NPI:1013961937
Name:SCHUYLER, CLARICE J (APRN)
Entity Type:Individual
Prefix:MS
First Name:CLARICE
Middle Name:J
Last Name:SCHUYLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1125 TUXEDO DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3920
Mailing Address - Country:US
Mailing Address - Phone:770-980-1818
Mailing Address - Fax:770-980-1873
Practice Address - Street 1:2550 WINDY HILL RD SE
Practice Address - Street 2:115
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8665
Practice Address - Country:US
Practice Address - Phone:770-980-1818
Practice Address - Fax:770-980-1873
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA046697163WW0101X
GARN046697 NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health