Provider Demographics
NPI:1306455613
Name:SCHUERING, MELINDA KAY
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:KAY
Last Name:SCHUERING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-3612
Mailing Address - Country:US
Mailing Address - Phone:918-617-5262
Mailing Address - Fax:
Practice Address - Street 1:216 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:CHECOTAH
Practice Address - State:OK
Practice Address - Zip Code:74426-3612
Practice Address - Country:US
Practice Address - Phone:918-617-5262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK117682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily