Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN204300 | GA |
NPI | 1003225137 |
---|---|
Provider Name | Courtni Schaaf |
First Address | Atlanta, GA 30368-7337 |
Second Address | Columbus, GA 31901-3710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2014 |
Last Update Date | 27/07/2020 |