Individual
MARY ELLEN SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
4 MILLSTONE DR, SOUTHAMPTON, NY 11968-5613
(631) 374-0534
Mailing address
4 MILLSTONE DR, SOUTHAMPTON, NY 11968-5613
(631) 374-0534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305771
NY
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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