Provider Demographics
NPI:1225549769
Name:SCHMIDLE, BETH ANN MARIE (CRNP)
Entity Type:Individual
Prefix:
First Name:BETH ANN
Middle Name:MARIE
Last Name:SCHMIDLE
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:520 JEFFERSON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2538
Mailing Address - Country:US
Mailing Address - Phone:724-689-1822
Mailing Address - Fax:724-522-4002
Practice Address - Street 1:540 SOUTH STREET - MEDICAL COMMONS 2
Practice Address - Street 2:SUITE 302
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-537-0885
Practice Address - Fax:724-532-1931
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2021-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV108550363LF0000X
PASP018013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily