Basic Information
Provider Information
NPI: 1689248387
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOEN
FirstName: CHRISTOPHER
MiddleName: ERIC
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 LAUREL OAK RD
Address2:  
City: VOORHEES
State: NJ
PostalCode: 080434453
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2201 CHAPEL AVE W
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080022048
CountryCode: US
TelephoneNumber: 8564886500
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2021
LastUpdateDate: 05/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X26NJ01151600PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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