Provider Demographics
NPI:1275842700
Name:SCHUESSLER, JUDITH A (CNP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:SCHUESSLER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 S TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-3237
Mailing Address - Country:US
Mailing Address - Phone:419-334-6661
Mailing Address - Fax:419-334-6685
Practice Address - Street 1:3232 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3312
Practice Address - Country:US
Practice Address - Phone:419-691-0636
Practice Address - Fax:419-693-1412
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN177135363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner