Provider Demographics
NPI:1033369897
Name:SCHEERINGA, AMY (CNS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:SCHEERINGA
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 WESLEY RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-3653
Mailing Address - Country:US
Mailing Address - Phone:260-925-2453
Mailing Address - Fax:260-925-0830
Practice Address - Street 1:1800 WESLEY RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-3653
Practice Address - Country:US
Practice Address - Phone:260-925-2453
Practice Address - Fax:260-925-0830
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70000218A364SP0808X
IN28110341A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse