Individual
ALYSSA SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
124 DERBE CT, TERRE HAUTE, IN 47803-9464
(517) 833-0547
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10005004A
IN
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S160064501810
DRIVER'S LICENSE
MI
Enumeration date
01/10/2023
Last updated
09/12/2025
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