Healthcare Provider Details

I. General information

NPI: 1477919694
Provider Name (Legal Business Name): MICHELL LYN SCHEEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 BROADWAY
KERRVILLE TX
78028-3514
US

IV. Provider business mailing address

250 CULLY DR
KERRVILLE TX
78028-5950
US

V. Phone/Fax

Practice location:
  • Phone: 830-258-6300
  • Fax:
Mailing address:
  • Phone: 830-258-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129911
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: