Provider Demographics
NPI:1972629095
Name:SCHEELE, PATRICIA BEATRICE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:BEATRICE
Last Name:SCHEELE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 COUNTY ROAD 27
Mailing Address - Street 2:
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-9774
Mailing Address - Country:US
Mailing Address - Phone:315-462-6439
Mailing Address - Fax:
Practice Address - Street 1:621 COUNTY ROAD 27
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-9774
Practice Address - Country:US
Practice Address - Phone:315-462-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564353163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse