MEDICARE: BELINDA MAY SCHRUBBE APNP

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	363LA2200X	Adult Health Nurse Practitioner	4710-33	WI

General Provider Information

NPI Number	:	1942560495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA MAY SCHRUBBE APNP

Provider Business Mailing Address
First Line	:	N6415 SAINT HELENA RD
Second Line	:
City	:	HORICON
State	:	WI
Zip	:	53032-9710
Country	:	US
Telephone Number	:	920-344-0062
Fax Number	:

Provider Business Practice Location Address
First Line	:	N6415 SAINT HELENA RD
Second Line	:
City	:	HORICON
State	:	WI
Zip	:	53032-9710
Country	:	US
Telephone Number	:	920-344-0062
Fax Number	:

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

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	05/17/2012

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