Provider Demographics
NPI:1083662423
Name:SCHMALZ, BIRGITT CHRISTINE (NP)
Entity Type:Individual
Prefix:
First Name:BIRGITT
Middle Name:CHRISTINE
Last Name:SCHMALZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10100
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-0008
Mailing Address - Country:US
Mailing Address - Phone:970-874-5777
Mailing Address - Fax:970-874-1631
Practice Address - Street 1:70 STAFFORD LN # NA
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2282
Practice Address - Country:US
Practice Address - Phone:970-399-2635
Practice Address - Fax:970-399-2685
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2905363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO037724222OtherAMERICAN NURSE CREDENTIAL
CO42655340Medicaid
CO42655340Medicaid
COMS0571148OtherDEA