Healthcare Provider Details

I. General information

NPI: 1164978037
Provider Name (Legal Business Name): CHRISTINE JUNE SCHEEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6539 CTY HWY N
BANCROFT WI
54921-9720
US

IV. Provider business mailing address

6539 CTY HWY N
BANCROFT WI
54921
US

V. Phone/Fax

Practice location:
  • Phone: 715-498-8771
  • Fax:
Mailing address:
  • Phone: 715-498-8771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number68606-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: