Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | IL |
NPI | 1093893919 |
---|---|
Provider Name | Roxanne M Schmertmann |
First Address | Bettendorf, IA 52722-4190 |
Second Address | Silvis, IL 61282-2907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |