Basic Information
| Provider Information | |||||||||
| NPI: | 1174619191 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHAAF | ||||||||
| FirstName: | LORETTA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | BSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8050 PIONEER | ||||||||
| Address2: | #205 | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995044755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9076776038 | ||||||||
| FaxNumber: | 9075611416 | ||||||||
| Practice Location | |||||||||
| Address1: | 4020 FOLKER STREET | ||||||||
| Address2: | |||||||||
| City: | ANKORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9072615551 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 19608 | AK | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.