Provider Demographics
NPI:1265073365
Name:SCHAEFFER, ALEXANDRA N (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:N
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:N
Other - Last Name:HARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3317 PENN AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1436
Mailing Address - Country:US
Mailing Address - Phone:610-750-7891
Mailing Address - Fax:610-750-7896
Practice Address - Street 1:3317 PENN AVENUE
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1436
Practice Address - Country:US
Practice Address - Phone:610-750-7891
Practice Address - Fax:610-750-7896
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061114363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant