Provider Demographics
NPI:1538643101
Name:SCHMITT, MICHELE MONIQUE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:MONIQUE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BERWICK LN
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-4767
Mailing Address - Country:US
Mailing Address - Phone:513-508-6359
Mailing Address - Fax:
Practice Address - Street 1:2533 AUGUSTINE HERMAN HWY STE A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21915-1414
Practice Address - Country:US
Practice Address - Phone:410-885-5018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001200363LF0000X
DEL1-0048177163WG0000X
MDAC002503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice