Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | A103223 | IA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | A103233 | IA |
N | 363LP2300X | Nurse Practitioner - Primary Care | A103233 | IA |
NPI | 1366573503 |
---|---|
Provider Name | Carol Marie Schmidt |
First Address | Sigourney, IA 52591-1443 |
Second Address | Sigourney, IA 52591-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P06820 | (02) | IA |