Provider Demographics
NPI:1093281495
Name:SCHMIEDEL, MARTHA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:
Last Name:SCHMIEDEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-4326
Mailing Address - Country:US
Mailing Address - Phone:661-631-4600
Mailing Address - Fax:661-326-1485
Practice Address - Street 1:1300 BAKER ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-4326
Practice Address - Country:US
Practice Address - Phone:661-631-4600
Practice Address - Fax:661-326-1485
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425771163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool