Provider Demographics
NPI:1437606464
Name:STRAND SCHMIDT, MISTY RENEE (RN)
Entity Type:Individual
Prefix:
First Name:MISTY
Middle Name:RENEE
Last Name:STRAND 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 1:301 W B ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1811
Mailing Address - Country:US
Mailing Address - Phone:307-577-1864
Mailing Address - Fax:307-235-3960
Practice Address - Street 1:301 W B ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1811
Practice Address - Country:US
Practice Address - Phone:307-577-1864
Practice Address - Fax:307-235-3960
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY25619251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)