Provider Demographics
NPI:1841803046
Name:SCHEKER, MARIAH BROOKE (NP)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:BROOKE
Last Name:SCHEKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5189 W 600 N
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9715
Mailing Address - Country:US
Mailing Address - Phone:317-335-5189
Mailing Address - Fax:
Practice Address - Street 1:5189 W 600 N
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-9715
Practice Address - Country:US
Practice Address - Phone:317-335-5189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28229948A163WM0705X
IN71011449A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical