Provider Demographics
NPI:1669966909
Name:SCHAEFER, PAULA RENEE (APRN-NURSE PRACTITIO)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:RENEE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:APRN-NURSE PRACTITIO
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:RENEE
Other - Last Name:SCHEMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 73488
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-0488
Mailing Address - Country:US
Mailing Address - Phone:855-722-9700
Mailing Address - Fax:
Practice Address - Street 1:2219 RIMLAND DR STE 301
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8759
Practice Address - Country:US
Practice Address - Phone:855-722-9700
Practice Address - Fax:844-222-0800
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60966080363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60966080OtherWA LICENSE