MEDICARE: KRISTI LYN SCHERWEIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1518134535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI LYN SCHERWEIT

Provider Business Mailing Address
First Line	:	2625 38TH AVE SW
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7019
Country	:	US
Telephone Number	:	701-371-5427
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 BESTGATE RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3016
Country	:	US
Telephone Number	:	701-371-5427
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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