MEDICARE: LEANNE SUE SCHIMKE CRNP

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	TP005023B	PA

General Provider Information

NPI Number	:	1194722678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNE SUE SCHIMKE CRNP

Provider Business Mailing Address
First Line	:	260 HIESTAND CT
Second Line	:
City	:	LANDISVILLE
State	:	PA
Zip	:	17538-1057
Country	:	US
Telephone Number	:	717-892-6873
Fax Number	:	717-393-2782

Provider Business Practice Location Address
First Line	:	2106 HARRISBURG PIKE
Second Line	:	SUITE 200
City	:	LANCASTER
State	:	PA
Zip	:	17604-3200
Country	:	US
Telephone Number	:	717-393-1771
Fax Number	:	717-393-2782

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/20/2014

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