Provider Demographics
NPI:1508627753
Name:SCHMIDT, DALAYNE (RN)
Entity Type:Individual
Prefix:
First Name:DALAYNE
Middle Name:
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 1:11621 COUNTY ROAD 26
Mailing Address - Street 2:
Mailing Address - City:HANNAFORD
Mailing Address - State:ND
Mailing Address - Zip Code:58448-9473
Mailing Address - Country:US
Mailing Address - Phone:701-789-0449
Mailing Address - Fax:
Practice Address - Street 1:11621 COUNTY ROAD 26
Practice Address - Street 2:
Practice Address - City:HANNAFORD
Practice Address - State:ND
Practice Address - Zip Code:58448-9473
Practice Address - Country:US
Practice Address - Phone:701-789-0449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR405743747P1801X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant