Provider Demographics
NPI:1659078459
Name:SCHOENHERR, MARY T (RN)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:T
Last Name:SCHOENHERR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4913 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2655
Mailing Address - Country:US
Mailing Address - Phone:608-213-9356
Mailing Address - Fax:
Practice Address - Street 1:4913 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-2655
Practice Address - Country:US
Practice Address - Phone:608-213-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI173329-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse