Provider Demographics
NPI:1053563692
Name:SCHAFFER, ROBIN LYNN (LVN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10442 NATE WAY
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4925
Mailing Address - Country:US
Mailing Address - Phone:619-749-8050
Mailing Address - Fax:619-749-8008
Practice Address - Street 1:10442 NATE WAY
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4925
Practice Address - Country:US
Practice Address - Phone:619-749-8050
Practice Address - Fax:619-749-8008
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN120651164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse