Provider Demographics
NPI:1437603263
Name:SCHMIDT, LAURA T (NP-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:T
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PIPER HILL DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1690
Mailing Address - Country:US
Mailing Address - Phone:636-229-4222
Mailing Address - Fax:636-441-9832
Practice Address - Street 1:112 PIPER HILL DR
Practice Address - Street 2:SUITE 9
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1690
Practice Address - Country:US
Practice Address - Phone:636-229-4222
Practice Address - Fax:636-441-9832
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016009881363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner