Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 061090-23 | NH |
NPI | 1053854992 |
---|---|
Provider Name | Ms. Stephanie L Schmidt |
First Address | New London, NH 03257-5736 |
Second Address | Lebanon, NH 03756-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2016 |
Last Update Date | 01/02/2022 |