Provider Demographics
NPI:1205568094
Name:SCHAPER, SONDRA JOAN (APRN)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:JOAN
Last Name:SCHAPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JONI
Other - Middle Name:
Other - Last Name:SCHAPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:3045 SAINT HELENS WAY
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3611
Mailing Address - Country:US
Mailing Address - Phone:808-589-8763
Mailing Address - Fax:
Practice Address - Street 1:7925 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8356
Practice Address - Country:US
Practice Address - Phone:321-751-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily