Healthcare Provider Details

I. General information

NPI: 1043328545
Provider Name (Legal Business Name): AMY ELIZABETH SCHUERMAN-GEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 E HERNDON AVE SUITE 106
FRESNO CA
93720-3306
US

IV. Provider business mailing address

1313 E. HERNDON AVE SUITE 106
FRESNO CA
93720
US

V. Phone/Fax

Practice location:
  • Phone: 559-320-0701
  • Fax: 559-320-0707
Mailing address:
  • Phone: 559-320-0701
  • Fax: 559-320-0707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA88462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: