Provider Demographics
NPI:1609381235
Name:SCHMIDT, MIRANDA SHILELAGH (PA-C)
Entity Type:Individual
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First Name:MIRANDA
Middle Name:SHILELAGH
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1302 SWAN DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-4926
Mailing Address - Country:US
Mailing Address - Phone:828-777-8548
Mailing Address - Fax:
Practice Address - Street 1:695 KINKAID RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21402-1006
Practice Address - Country:US
Practice Address - Phone:410-293-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2024-04-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant