Provider Demographics
NPI:1720795826
Name:SCHAEFFER, CATHERINE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:CARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1691 CAMBRIDGE ST APT 35
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4330
Mailing Address - Country:US
Mailing Address - Phone:252-916-8296
Mailing Address - Fax:
Practice Address - Street 1:1691 CAMBRIDGE ST APT 35
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4330
Practice Address - Country:US
Practice Address - Phone:252-916-8296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2341065363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health