Healthcare Provider Details

I. General information

NPI: 1700408481
Provider Name (Legal Business Name): WADE SCHERLING APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 A ST STE 201
LINCOLN NE
68510-4283
US

IV. Provider business mailing address

1831 CARLYLE ST
BEATRICE NE
68310-1723
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-7100
  • Fax:
Mailing address:
  • Phone: 402-806-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number113170
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: