MEDICARE: MRS. CHERIE BETH STELTER RN

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	163WH0200X	Home Health Registered Nurse	75708-030	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598950271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERIE BETH STELTER RN

Provider Business Mailing Address
First Line	:	4119 N 62ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1234
Country	:	US
Telephone Number	:	414-536-5349
Fax Number	:

Provider Business Practice Location Address
First Line	:	4119 N. 62ND ST.
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1234
Country	:	US
Telephone Number	:	414-536-5349
Fax Number	:

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

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	09/06/2007

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