Provider Demographics
NPI:1750661021
Name:SCHMIDTKNECHT, HEATHER L (NP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:SCHMIDTKNECHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:REPINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W751 HESCH VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COCHRANE
Mailing Address - State:WI
Mailing Address - Zip Code:54622-8138
Mailing Address - Country:US
Mailing Address - Phone:507-429-9985
Mailing Address - Fax:
Practice Address - Street 1:855 MANKATO AVE
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-4868
Practice Address - Country:US
Practice Address - Phone:507-454-3650
Practice Address - Fax:507-474-3392
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN142199-2363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily