Provider Demographics
NPI:1639313737
Name:SCHMIDT, DANA ANN (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ANN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WELLSWEEP RD
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-6139
Mailing Address - Country:US
Mailing Address - Phone:203-687-1075
Mailing Address - Fax:203-483-3149
Practice Address - Street 1:16 WELLSWEEP RD
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-6139
Practice Address - Country:US
Practice Address - Phone:203-687-1075
Practice Address - Fax:203-483-3149
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE56972163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant