Provider Demographics
NPI:1962947606
Name:SCHAFER, KATHRYN LUNATI (CRNA)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LUNATI
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:MEREDITH
Other - Last Name:LUNATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:285 TAMER LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4845
Mailing Address - Country:US
Mailing Address - Phone:404-642-3869
Mailing Address - Fax:
Practice Address - Street 1:1984 PEACHTREE RD NW
Practice Address - Street 2:SUITE 515
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-5219
Practice Address - Country:US
Practice Address - Phone:770-989-0046
Practice Address - Fax:404-351-7121
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN255446367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered