Provider Demographics
NPI:1376164194
Name:SCHARINE, MICHELLE K (APNP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:K
Last Name:SCHARINE
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:K
Other - Last Name:MARIOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1346 N LAKE ST
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-1439
Mailing Address - Country:US
Mailing Address - Phone:775-338-0054
Mailing Address - Fax:
Practice Address - Street 1:1346 N LAKE ST
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-1439
Practice Address - Country:US
Practice Address - Phone:775-338-0054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI197063163W00000X
WI10091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse