Individual
MR. PHILLIP ALLEN SCHAFER
Active
Individual
MR. PHILLIP ALLEN SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
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
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