Provider Demographics
NPI:1174619191
Name:SCHAAF, LORETTA B (BSN)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:B
Last Name:SCHAAF
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 PIONEER
Mailing Address - Street 2:#205
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4755
Mailing Address - Country:US
Mailing Address - Phone:907-677-6038
Mailing Address - Fax:907-561-1416
Practice Address - Street 1:4020 FOLKER STREET
Practice Address - Street 2:
Practice Address - City:ANKORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-261-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK19608163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health