Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 66983 | CO |
NPI | 1235359647 |
---|---|
Provider Name | Patricia Anne Schmid |
First Address | Frederick, CO 80504-5825 |
Second Address | Aurora, CO 80012-5411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |