Individual
PAULA JEAN SCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7843
(814) 676-7838
Mailing address
68 SOUTH SERVICE ROAD, SUITE 300, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN261573L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015509530025
MEDICAID GROUP
PA
05
—
1015491690001
—
PA
01
—
808862
MEDICARE GROUP
PA
Enumeration date
11/28/2005
Last updated
03/16/2015
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