Provider Demographics
NPI:1831247212
Name:SCHUELKE, DEBRA R (RN, MSN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:R
Last Name:SCHUELKE
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PORTER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8422
Mailing Address - Country:US
Mailing Address - Phone:802-388-4001
Mailing Address - Fax:802-388-3474
Practice Address - Street 1:30 PORTER DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8422
Practice Address - Country:US
Practice Address - Phone:802-388-4001
Practice Address - Fax:802-388-3474
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3609696Medicaid