Provider Demographics
NPI:1407286628
Name:SCHMELTZ, BRENDA LEE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:LEE
Last Name:SCHMELTZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 BANNING RD
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:PA
Mailing Address - Zip Code:15428-1030
Mailing Address - Country:US
Mailing Address - Phone:724-433-0580
Mailing Address - Fax:
Practice Address - Street 1:1795 BANNING RD
Practice Address - Street 2:
Practice Address - City:DAWSON
Practice Address - State:PA
Practice Address - Zip Code:15428-1030
Practice Address - Country:US
Practice Address - Phone:724-433-0580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN273173164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse