| Doctor Name: | MRS. MARY B SCHENK |
| NPI Number: | 1316035066 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | R0018715 |
| Business Practice Address: | 407 N Clarence Nash Blvd Watonga, OK - 737723636 |
| Business Phone Number: | 5806234954 |
| Business Fax Number: | 5806234980 |
| Mailing Address: | Po Box 669, WATONGA |
| State: | OK |
| Postal Code: | 737720669 |
| Phone Number: | 5806234954 |
| Fax Number: | 5806234980 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0018715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |