Provider Demographics
NPI:1144853664
Name:SCHIERBERG, MICHELLE MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MARIE
Last Name:SCHIERBERG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 DUPONT CIR STE A
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2798
Mailing Address - Country:US
Mailing Address - Phone:513-936-3050
Mailing Address - Fax:513-745-9323
Practice Address - Street 1:5405 DUPONT CIR STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2798
Practice Address - Country:US
Practice Address - Phone:513-936-3050
Practice Address - Fax:513-745-9323
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009788A363LG0600X
OHAPRN.CNP.024601363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.024601OtherOHIO BOARD OF NURSING
IN71009788AOtherINDIANA PROFESSIONAL LICENSING AGENCY