MEDICARE: PATRICIA ANN SCHIERENBECK F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F336993	NY

General Provider Information

NPI Number	:	1093099228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN SCHIERENBECK F.N.P.

Provider Business Mailing Address
First Line	:	17 PENSACOLA ST
Second Line	:
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-1868
Country	:	US
Telephone Number	:	646-879-7080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2311
Country	:	US
Telephone Number	:	718-668-6963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2011
Last Update Date	:	10/06/2011

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