Healthcare Provider Details
I. General information
NPI: 1184647570
Provider Name (Legal Business Name): KATHRYN A SCHERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16117 N 76TH ST
SCOTTSDALE AZ
85260-1793
US
IV. Provider business mailing address
16117 N 76TH ST
SCOTTSDALE AZ
85260-1793
US
V. Phone/Fax
- Phone: 480-663-6500
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0600X |
| Taxonomy | Gerontology Registered Nurse |
| License Number | RN105178 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | AP5959 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: