Provider Demographics
NPI:1851518492
Name:SCHERMICK, KATHERINE ROSE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ROSE
Last Name:SCHERMICK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 E SAINT ANNE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-5359
Mailing Address - Country:US
Mailing Address - Phone:602-431-6640
Mailing Address - Fax:602-431-6887
Practice Address - Street 1:4525 E SAINT ANNE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-5359
Practice Address - Country:US
Practice Address - Phone:602-431-6640
Practice Address - Fax:602-431-6887
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP031263164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse