Provider Demographics
NPI:1518123769
Name:SCHUERMANN, WILMA KAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:WILMA
Middle Name:KAY
Last Name:SCHUERMANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7416 PRATT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-4451
Mailing Address - Country:US
Mailing Address - Phone:402-932-8644
Mailing Address - Fax:
Practice Address - Street 1:800 MERCY DR
Practice Address - Street 2:MERCY HOSPITAL ER
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503
Practice Address - Country:US
Practice Address - Phone:715-328-5230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-120111363LF0000X
NE110964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI9291004Medicare PIN