Healthcare Provider Details

I. General information

NPI: 1285653030
Provider Name (Legal Business Name): CHERYL J SCHIMERS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 HARRINGTON BLVD SUITE 301
MT CLEMENS MI
48043
US

IV. Provider business mailing address

9861 DIXIE HIGHWAY
FAIR HAVEN MI
48023-2817
US

V. Phone/Fax

Practice location:
  • Phone: 586-493-3440
  • Fax:
Mailing address:
  • Phone: 586-725-3509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704120604
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: