Provider Demographics
NPI:1770242257
Name:SCHUHMACHER, REGAN P (NP-C)
Entity type:Individual
Prefix:MRS
First Name:REGAN
Middle Name:P
Last Name:SCHUHMACHER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 CARBON ST
Mailing Address - Street 2:
Mailing Address - City:GWINN
Mailing Address - State:MI
Mailing Address - Zip Code:49841-9184
Mailing Address - Country:US
Mailing Address - Phone:906-360-1513
Mailing Address - Fax:
Practice Address - Street 1:914 W BARAGA AVE
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4029
Practice Address - Country:US
Practice Address - Phone:906-225-7760
Practice Address - Fax:906-225-7765
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704321154363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner