Provider Demographics
NPI:1790810760
Name:SCHENTRUP, MICHELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:SCHENTRUP
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2005 SW 75TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3425
Mailing Address - Country:US
Mailing Address - Phone:352-333-0085
Mailing Address - Fax:352-333-0174
Practice Address - Street 1:2005 SW 75TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3425
Practice Address - Country:US
Practice Address - Phone:352-333-0085
Practice Address - Fax:352-333-0174
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2822742363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics