Provider Demographics
NPI:1063935377
Name:SCHAFFER, ANNA (NP-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DUKE MEDICINE CIR # 1A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3000
Mailing Address - Country:US
Mailing Address - Phone:919-613-4333
Mailing Address - Fax:
Practice Address - Street 1:30 DUKE MEDICINE CIR # 1A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3000
Practice Address - Country:US
Practice Address - Phone:919-613-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009630363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner