Provider Demographics
NPI:1093527236
Name:SCHANBACHER, STACI MICHELLE (RN)
Entity type:Individual
Prefix:MRS
First Name:STACI
Middle Name:MICHELLE
Last Name:SCHANBACHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NJ-73
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054
Mailing Address - Country:US
Mailing Address - Phone:856-722-9900
Mailing Address - Fax:
Practice Address - Street 1:1120 NJ-73
Practice Address - Street 2:SUITE 110
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3413
Practice Address - Country:US
Practice Address - Phone:856-722-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR26604100163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0200XNursing Service ProvidersRegistered NursePediatricsGroup - Multi-Specialty