Provider Demographics
NPI:1790019610
Name:GONYA, STEPHANIE MARIE SCHERGER (CNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARIE SCHERGER
Last Name:GONYA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MARIE
Other - Last Name:SCHERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1297 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43440-2002
Mailing Address - Country:US
Mailing Address - Phone:419-798-4418
Mailing Address - Fax:419-798-4442
Practice Address - Street 1:1297 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:OH
Practice Address - Zip Code:43440-2002
Practice Address - Country:US
Practice Address - Phone:419-798-4418
Practice Address - Fax:419-798-4442
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.11305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily