Provider Demographics
NPI:1740763572
Name:SCHERTZ, LOURDES ELENA (FNP)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:ELENA
Last Name:SCHERTZ
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 1:610 HARKNESS CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-7368
Mailing Address - Country:US
Mailing Address - Phone:919-616-2772
Mailing Address - Fax:
Practice Address - Street 1:2011 FALLS VALLEY DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3451
Practice Address - Country:US
Practice Address - Phone:919-887-8133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily