Provider Demographics
NPI:1760434583
Name:SCHEINERT-WAUKECHON, HEIDI JANE (RN)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:JANE
Last Name:SCHEINERT-WAUKECHON
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:W5215 COUNTY RD E
Mailing Address - Street 2:
Mailing Address - City:BONDUEL
Mailing Address - State:WI
Mailing Address - Zip Code:54107-8712
Mailing Address - Country:US
Mailing Address - Phone:715-745-2824
Mailing Address - Fax:
Practice Address - Street 1:N7006 MENOMINEE DR
Practice Address - Street 2:
Practice Address - City:SHAWANO
Practice Address - State:WI
Practice Address - Zip Code:54166-4816
Practice Address - Country:US
Practice Address - Phone:715-745-4159
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39932500Medicaid