Healthcare Provider Details
I. General information
NPI: 1144853664
Provider Name (Legal Business Name): MICHELLE MARIE SCHIERBERG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/13/2020
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5405 DUPONT CIR STE A
MILFORD OH
45150-2798
US
IV. Provider business mailing address
5405 DUPONT CIR STE A
MILFORD OH
45150-2798
US
V. Phone/Fax
- Phone: 513-936-3050
- Fax: 513-745-9323
- Phone: 513-936-3050
- Fax: 513-745-9323
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN.CNP.024601 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | 71009788A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | APRN.CNP.024601 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: