Provider Demographics
NPI:1588216485
Name:SCHMIDT, ESTEE L (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ESTEE
Middle Name:L
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 E PEBBLE RD # 230211
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3084
Mailing Address - Country:US
Mailing Address - Phone:702-912-6333
Mailing Address - Fax:
Practice Address - Street 1:12300 LAS VEGAS BLVD S
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-9506
Practice Address - Country:US
Practice Address - Phone:702-912-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN77569163WI0500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163W00000XNursing Service ProvidersRegistered Nurse