Healthcare Provider Details

I. General information

NPI: 1124593736
Provider Name (Legal Business Name): ESTRELLA ELIZABETH SCHERER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTRELLA ELIZABETH PEDROZA APRN

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 HICKORY ST
MELBOURNE FL
32901-3278
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-434-1771
  • Fax: 321-434-1775
Mailing address:
  • Phone: 321-434-1771
  • Fax: 321-951-7408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberARNP9352771
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: