Provider Demographics
NPI:1710509591
Name:SCHMITT, VICTORIA THERESA (NP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:THERESA
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:VICTORIA
Other - Middle Name:THERESA
Other - Last Name:ARNDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 BON AIR RD STE 107
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1137
Mailing Address - Country:US
Mailing Address - Phone:415-924-1330
Mailing Address - Fax:
Practice Address - Street 1:5 BON AIR RD STE 107
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1137
Practice Address - Country:US
Practice Address - Phone:415-924-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442823163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice