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Individual

MISS STEPHANI SUE SCHEURENBRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079276
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050514
MEDICARE GROUP #
PA
01
1007307260035
MEDICAID GROUP #
PA
05
102417191 0001
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
50089831
CAPITAL BLUECROSS
PA
01
G920-0138/85XWCU
CAREFIRST
PA
01
RN600772
LICENSE
PA
Enumeration date
04/29/2008
Last updated
03/10/2025
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