Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 110945 | NE |
NPI | 1154570554 |
---|---|
Provider Name | Cynthia Schmid |
First Address | Omaha, NE 68136-1965 |
Second Address | Omaha, NE 68136-1965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 03/05/2017 |