MEDICARE: BROOKE SCHIEDEMEYER 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
1	163W00000X	Registered Nurse	242742-30	WI

General Provider Information

NPI Number	:	1295356988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE SCHIEDEMEYER RN

Provider Business Mailing Address
First Line	:	310 E WARD ST APT 309
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-1374
Country	:	US
Telephone Number	:	262-617-0105
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 E WARD ST APT 309
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-1374
Country	:	US
Telephone Number	:	262-617-0105
Fax Number	:

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

Provider Enumeration Date	:	05/04/2020
Last Update Date	:	05/04/2020

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Directions to “ BROOKE SCHIEDEMEYER RN” Practice Location

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