Provider Demographics
NPI:1669647145
Name:SCHIMMELS, JOELLEN MICHOL (PMHNP-BC, APRN-CNP)
Entity Type:Individual
Prefix:
First Name:JOELLEN
Middle Name:MICHOL
Last Name:SCHIMMELS
Suffix:
Gender:F
Credentials:PMHNP-BC, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 CATRON AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-4227
Mailing Address - Country:US
Mailing Address - Phone:210-725-5347
Mailing Address - Fax:
Practice Address - Street 1:1400 CATRON AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-4227
Practice Address - Country:US
Practice Address - Phone:505-448-0203
Practice Address - Fax:505-336-6524
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3390-033363LA2200X, 363LP0808X
NM61737363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health