Provider Demographics
NPI:1336647759
Name:SCHMUCK, MICHAEL ARTHUR (RNFA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ARTHUR
Last Name:SCHMUCK
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:MR
Other - First Name:MICKEY
Other - Middle Name:
Other - Last Name:SCHMUCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1046 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3902
Mailing Address - Country:US
Mailing Address - Phone:610-323-1198
Mailing Address - Fax:
Practice Address - Street 1:2701 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-1820
Practice Address - Country:US
Practice Address - Phone:610-864-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN558989163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant