Provider Demographics
NPI:1952576027
Name:SCHEURENBRAND, STEPHANI SUE (CRNA)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANI
Middle Name:SUE
Last Name:SCHEURENBRAND
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1810
Mailing Address - Country:US
Mailing Address - Phone:605-254-2267
Mailing Address - Fax:
Practice Address - Street 1:205 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:SISSETON
Practice Address - State:SD
Practice Address - Zip Code:57262-2398
Practice Address - Country:US
Practice Address - Phone:605-698-7681
Practice Address - Fax:605-698-6423
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD079276367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA050514OtherMEDICARE GROUP #
PA102417191 0001Medicaid
PA25-1716306OtherHEALTHNET/TRICARE
PA50089831OtherCAPITAL BLUECROSS
PA1007307260035OtherMEDICAID GROUP #
PAG920-0138/85XWCUOtherCAREFIRST
PARN600772OtherLICENSE
PA1007307260035OtherMEDICAID GROUP #