Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00372300 | NJ |
N | 363LA2100X | Nurse Practitioner - Acute Care | 430583 | NY |
NPI | 1043509938 |
---|---|
Provider Name | Miss Kristin Marie Schaffner |
First Address | New Milford, NJ 07646-1463 |
Second Address | New Milford, NJ 07646-1463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 21/04/2014 |