Healthcare Provider Details

I. General information

NPI: 1740602317
Provider Name (Legal Business Name): KRISTINE SCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2014
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FOREST ST
WESTBROOK ME
04092-4342
US

IV. Provider business mailing address

161 FOREST ST
WESTBROOK ME
04092-4342
US

V. Phone/Fax

Practice location:
  • Phone: 207-691-2117
  • Fax:
Mailing address:
  • Phone: 207-691-2117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-41887
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: