Provider Demographics
NPI:1770888398
Name:SCHOFIELD, ANDREA MARIE (LPN WITH IV CERT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIE
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:LPN WITH IV CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7213 WALDO DELAWARE RD
Mailing Address - Street 2:
Mailing Address - City:WALDO
Mailing Address - State:OH
Mailing Address - Zip Code:43356-9118
Mailing Address - Country:US
Mailing Address - Phone:740-272-6184
Mailing Address - Fax:
Practice Address - Street 1:7213 WALDO DELAWARE RD
Practice Address - Street 2:
Practice Address - City:WALDO
Practice Address - State:OH
Practice Address - Zip Code:43356-9118
Practice Address - Country:US
Practice Address - Phone:740-272-6184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN139615M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse