Healthcare Provider Details

I. General information

NPI: 1235483769
Provider Name (Legal Business Name): JANELLE MARIE SCHERER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANELLE MARIE JERABEK

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 VAN BUREN RD
CARIBOU ME
04736-3567
US

IV. Provider business mailing address

PO BOX 133
CARIBOU ME
04736-0133
US

V. Phone/Fax

Practice location:
  • Phone: 207-498-3111
  • Fax:
Mailing address:
  • Phone: 507-382-5786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR31606
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA123049
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: