Provider Demographics
NPI:1093159071
Name:SCHUMM, MAGGIE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:SCHUMM
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4451
Mailing Address - Fax:970-490-4199
Practice Address - Street 1:595 CHAPEL HILLS DR STE 240
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1056
Practice Address - Country:US
Practice Address - Phone:193-644-1207
Practice Address - Fax:719-364-4121
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1617271163W00000X
COAPN.0992310-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000120948Medicaid