Provider Demographics
NPI:1891832200
Name:SCHEPER, CARLA R (RN, CNOR, CRNFA)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:R
Last Name:SCHEPER
Suffix:
Gender:F
Credentials:RN, CNOR, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 SHADY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-9307
Mailing Address - Country:US
Mailing Address - Phone:573-243-2263
Mailing Address - Fax:573-243-0212
Practice Address - Street 1:456 SHADY BROOK DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-9307
Practice Address - Country:US
Practice Address - Phone:573-243-2263
Practice Address - Fax:573-243-0212
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO067128163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant