MEDICARE: CONSTANCE S SCHENK RN BSN

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	163WS0200X	School Registered Nurse	OH3294953	OH

General Provider Information

NPI Number	:	1649780552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONSTANCE S SCHENK RN BSN

Provider Business Mailing Address
First Line	:	1955 W LASKEY RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-3527
Country	:	US
Telephone Number	:	418-671-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 W LASKEY RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-3527
Country	:	US
Telephone Number	:	418-671-3800
Fax Number	:

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

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	07/21/2022

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