Individual
FREDERIC JON SCHAAFSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
020720-23-11
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005718
—
VT
Enumeration date
06/27/2006
Last updated
10/26/2011
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