Healthcare Provider Details

I. General information

NPI: 1003633231
Provider Name (Legal Business Name): TAYLER RAE SCHEMBECHLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6076 WHIPPLE AVE NW
CANTON OH
44720-7616
US

IV. Provider business mailing address

1024 17TH ST SW
MASSILLON OH
44647-7406
US

V. Phone/Fax

Practice location:
  • Phone: 330-305-5001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202428168
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: