Provider Demographics
NPI:1023182078
Name:SCHMIDT, LAURA A (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3899 W FRONT ST
Mailing Address - Street 2:STE 1
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-8104
Mailing Address - Country:US
Mailing Address - Phone:231-599-2313
Mailing Address - Fax:
Practice Address - Street 1:921 W FRONT ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2327
Practice Address - Country:US
Practice Address - Phone:231-995-3657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704166381363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily