Doctor Name: | LAURA A. SCHMIDT |
NPI Number: | 1023182078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 4704166381 |
Business Practice Address: | 921 W Front St Traverse City, MI - 496842327 |
Business Phone Number: | 2319953657 |
Business Fax Number: | |
Mailing Address: | 3899 W Front St, Ste 1 TRAVERSE CITY |
State: | MI |
Postal Code: | 496848104 |
Phone Number: | 2315992313 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704166381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |