Provider Demographics
NPI:1659327955
Name:SCHMIDT, MARGARET JOAN (MSN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JOAN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 7TH ST S
Mailing Address - Street 2:
Mailing Address - City:PARK FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54552-1053
Mailing Address - Country:US
Mailing Address - Phone:715-520-7652
Mailing Address - Fax:
Practice Address - Street 1:2700A COLLEGE DR
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-2449
Practice Address - Country:US
Practice Address - Phone:715-236-3355
Practice Address - Fax:715-236-3359
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI355-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIS41169Medicare UPIN
WI43858400Medicare ID - Type Unspecified