Provider Demographics
NPI:1124742424
Name:SCHEMBARI, MAKENZIE TAYLOR (FNP-C)
Entity type:Individual
Prefix:
First Name:MAKENZIE
Middle Name:TAYLOR
Last Name:SCHEMBARI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 UHL DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-1301
Mailing Address - Country:US
Mailing Address - Phone:502-295-8985
Mailing Address - Fax:
Practice Address - Street 1:2315 GREEN VALLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4690
Practice Address - Country:US
Practice Address - Phone:812-945-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013120A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily