Provider Demographics
NPI:1730855875
Name:SCHERER, TABATHA ANN (APRN)
Entity type:Individual
Prefix:
First Name:TABATHA
Middle Name:ANN
Last Name:SCHERER
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 1:7503 BEECHDALE RD
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-9403
Mailing Address - Country:US
Mailing Address - Phone:502-689-2505
Mailing Address - Fax:
Practice Address - Street 1:189 ADAM SHEPHERD PKWY STE 14
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-6579
Practice Address - Country:US
Practice Address - Phone:502-531-9823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily