Individual
MR. PHILLIP ALLEN SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
212 S MONTEZUMA ST STE 3, PRESCOTT, AZ 86303-4720
(928) 277-0001
(928) 350-6228
Mailing address
212 S MONTEZUMA ST STE 3, PRESCOTT, AZ 86303-4720
(928) 277-0001
(928) 350-6228
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11322
AZ
363LF0000X
Family Nurse Practitioner
AP11311
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437992112
GRANITE MOUNTAIN LLC
AZ
Enumeration date
05/25/2018
Last updated
03/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us