MEDICARE: SHARI L GERMSCHEID NP

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	R1032679	MN

General Provider Information

NPI Number	:	1962485680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARI L GERMSCHEID NP

Provider Business Mailing Address
First Line	:	622 SUNRISE DR
Second Line	:
City	:	ST PETER
State	:	MN
Zip	:	56082-1201
Country	:	US
Telephone Number	:	507-931-2110
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 WEDGEWOOD RD N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55311-3647
Country	:	US
Telephone Number	:	763-268-0400
Fax Number	:

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	07/19/2012

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