Healthcare Provider Details

I. General information

NPI: 1831564632
Provider Name (Legal Business Name): STEPHANIE SCHRICKEL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2015
Last Update Date: 12/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1562 CADIZ RD
WINTERSVILLE OH
43953-7630
US

IV. Provider business mailing address

1562 CADIZ RD
WINTERSVILLE OH
43953-7630
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-6235
  • Fax: 740-264-9395
Mailing address:
  • Phone: 740-264-6235
  • Fax: 740-264-9395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF1115406
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: