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NPI Code Detail

MEDICARE: CHERI K SCHRIVER RN

MEDICARE: CHERI K SCHRIVER RN
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
1163W00000XRegistered NurseRN67078ME

General Provider Information

NPI Number : 1093465429
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERI K SCHRIVER RN
Provider Business Mailing Address
First Line : 529 S PATTEN RD
Second Line :
City : PATTEN
State : ME
Zip : 04765-3007
Country : US
Telephone Number : 207-538-3701
Fax Number : 207-528-2595
Provider Business Practice Location Address
First Line : 48 E MAIN ST
Second Line :
City : DOVER FOXCROFT
State : ME
Zip : 04426-1323
Country : US
Telephone Number : 207-538-3700
Fax Number : 207-528-2595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 03/28/2022

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