Provider Demographics
NPI:1487134235
Name:SCHAFF, ELAINA GONZALEZ (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ELAINA
Middle Name:GONZALEZ
Last Name:SCHAFF
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 JOEL AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-1507
Mailing Address - Country:US
Mailing Address - Phone:504-842-2633
Mailing Address - Fax:
Practice Address - Street 1:9809 JOEL AVE
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-1507
Practice Address - Country:US
Practice Address - Phone:504-842-2633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10218363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner