Healthcare Provider Details

I. General information

NPI: 1104476621
Provider Name (Legal Business Name): KRISTEN LEANNE SCHEURICH CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN LEANNE SCHEURICH CPNP

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 PRINCE WILLIAM RD STE A
DELPHI IN
46923-1759
US

IV. Provider business mailing address

901 PRINCE WILLIAM RD STE A
DELPHI IN
46923-1759
US

V. Phone/Fax

Practice location:
  • Phone: 765-564-3016
  • Fax:
Mailing address:
  • Phone: 800-321-5043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number28237512A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number28237512A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: