Doctor Name: | JANE SCHMIDT |
NPI Number: | 1073901047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, PHN |
License Number: | R 132055-6 |
Business Practice Address: | 560 W Fir Ave Fergus Falls, MN - 565371364 |
Business Phone Number: | 2189988320 |
Business Fax Number: | 2189988352 |
Mailing Address: | 560 W Fir Ave, FERGUS FALLS |
State: | MN |
Postal Code: | 565371364 |
Phone Number: | 2189988320 |
Fax Number: | 2189988352 |
NPI Enumeration Date: | 12/29/2014 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | R 132055-6 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |