Provider Demographics
NPI:1316077019
Name:SCHERER, RUSSELL D (LPN)
Entity type:Individual
Prefix:MR
First Name:RUSSELL
Middle Name:D
Last Name:SCHERER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-8402
Mailing Address - Country:US
Mailing Address - Phone:937-451-0429
Mailing Address - Fax:
Practice Address - Street 1:409 DEERWOOD DR
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-8402
Practice Address - Country:US
Practice Address - Phone:937-451-0429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH096473164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse