Provider Demographics
NPI:1235512310
Name:SCHACHERL, CARRI LYNN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRI
Middle Name:LYNN
Last Name:SCHACHERL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 GRAND SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-8219
Mailing Address - Country:US
Mailing Address - Phone:715-258-3650
Mailing Address - Fax:
Practice Address - Street 1:190 GRAND SEASONS DR
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-8219
Practice Address - Country:US
Practice Address - Phone:715-258-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6435363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI120653OtherRN LIC