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NPI Code Detail

MEDICARE: MARI SCHENCK RN

MEDICARE: MARI SCHENCK 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
1390200000XStudent in an Organized Health Care Education/Training Program
2367500000XCertified Registered Nurse Anesthetist210759LA

General Provider Information

NPI Number : 1306565759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARI SCHENCK RN
Provider Business Mailing Address
First Line : 142 BLUEFIELD DR
Second Line :
City : SLIDELL
State : LA
Zip : 70458-1228
Country : US
Telephone Number : 985-285-1645
Fax Number :
Provider Business Practice Location Address
First Line : 1001 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2987
Country : US
Telephone Number : 985-285-1645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2022
Last Update Date : 05/27/2025

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