Provider Demographics
NPI:1356628200
Name:SCHAEFER, GENEVIEVE ELAINE (LM, CPM)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:ELAINE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 COYOTE RDG
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-9088
Mailing Address - Country:US
Mailing Address - Phone:512-658-5628
Mailing Address - Fax:
Practice Address - Street 1:8100 COYOTE RDG
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-9088
Practice Address - Country:US
Practice Address - Phone:512-658-5628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife