Provider Demographics
NPI:1730584756
Name:SCHAEFER, CHRISTINA L (RN, IBCLC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:L
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MCEWEN DR
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-2627
Mailing Address - Country:US
Mailing Address - Phone:850-259-1105
Mailing Address - Fax:833-261-3636
Practice Address - Street 1:100 MCEWEN DR
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-2627
Practice Address - Country:US
Practice Address - Phone:850-259-1105
Practice Address - Fax:833-261-3636
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-03
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL-49887174N00000X
374J00000X
FL9515889163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula