Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 0024166100 | VA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9325389 | FL |
NPI | 1013995117 |
---|---|
Provider Name | Ann Schlaefer |
First Address | Onley, VA 23418 |
Second Address | Onley, VA 23418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 23/11/2020 |