Provider Demographics
NPI:1669094363
Name:SCHATZ, BRIAN R (CNP)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:R
Last Name:SCHATZ
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8574 S SPRING VALLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-1854
Mailing Address - Country:US
Mailing Address - Phone:440-346-0024
Mailing Address - Fax:
Practice Address - Street 1:8574 S SPRING VALLEY PARK DR
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-1854
Practice Address - Country:US
Practice Address - Phone:440-346-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily