Provider Demographics
NPI:1215589536
Name:PECHACEK, SHEREE JOANNE (APRN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:SHEREE
Middle Name:JOANNE
Last Name:PECHACEK
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:SHEREE
Other - Middle Name:JOANNE
Other - Last Name:GUNDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:377 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:WI
Mailing Address - Zip Code:54011-5150
Mailing Address - Country:US
Mailing Address - Phone:715-307-2822
Mailing Address - Fax:
Practice Address - Street 1:909 FULTON ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-4800
Practice Address - Country:US
Practice Address - Phone:612-273-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6705363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology