Provider Demographics
NPI:1346544715
Name:SCHMIDT, HEIDI ANN (RN)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:ANN
Last Name:SCHMIDT
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 1:375 FEEDLOT RD
Mailing Address - Street 2:
Mailing Address - City:ELLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67637-9306
Mailing Address - Country:US
Mailing Address - Phone:785-726-1133
Mailing Address - Fax:
Practice Address - Street 1:375 FEEDLOT RD
Practice Address - Street 2:
Practice Address - City:ELLIS
Practice Address - State:KS
Practice Address - Zip Code:67637-9306
Practice Address - Country:US
Practice Address - Phone:785-726-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13102709091163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator