Provider Demographics
NPI:1235467887
Name:SCHANK, MARLENE MAY (NP)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:MAY
Last Name:SCHANK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4675 HILL ST
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1008
Mailing Address - Country:US
Mailing Address - Phone:989-872-8202
Mailing Address - Fax:989-872-1245
Practice Address - Street 1:2750 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MARLETTE
Practice Address - State:MI
Practice Address - Zip Code:48453-1100
Practice Address - Country:US
Practice Address - Phone:989-635-4614
Practice Address - Fax:989-635-4619
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704213608363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner