Basic Information
Provider Information
NPI: 1235483769
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHERER
FirstName: JANELLE
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: JERABEK
OtherFirstName: JANELLE
OtherMiddleName: MARIE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 133
Address2:  
City: CARIBOU
State: ME
PostalCode: 047360133
CountryCode: US
TelephoneNumber: 5073825786
FaxNumber:  
Practice Location
Address1: 163 VAN BUREN RD
Address2:  
City: CARIBOU
State: ME
PostalCode: 047363567
CountryCode: US
TelephoneNumber: 2074983111
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/06/2012
LastUpdateDate: 03/28/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200XR31606NDY Nursing Service ProvidersRegistered NurseCritical Care Medicine
367500000XRNA123049MEN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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