Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 6862 | CT |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 3010914 | KY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 6862 | CT |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN82555-NP-C | WV |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 6862 | CT |
NPI | 1003359738 |
---|---|
Provider Name | Kaitlin Schmidt |
First Address | Windsor, CT 06095-2700 |
Second Address | Windsor, CT 06095-2700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2016 |
Last Update Date | 15/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008069907 | (05) | CT |