Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9352771 | FL |
NPI | 1124593736 |
---|---|
Provider Name | Estrella Elizabeth Scherer |
First Address | Rockledge, FL 32955-4306 |
Second Address | Melbourne, FL 32901-3278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2018 |
Last Update Date | 11/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101217200 | (05) | FL |
KN582 | MEDICARE (01) | FL |