Provider Demographics
NPI:1356308845
Name:SCHMAND, ELIZABETH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:SCHMAND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2256
Mailing Address - Country:US
Mailing Address - Phone:716-248-1320
Mailing Address - Fax:716-248-2026
Practice Address - Street 1:11 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2256
Practice Address - Country:US
Practice Address - Phone:716-248-1420
Practice Address - Fax:716-248-2026
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02430651Medicaid
NY02430651Medicaid
NYRA4205Medicare ID - Type Unspecified