Provider Demographics
NPI:1770031668
Name:SCHMOKER, AUTUMN BRITTANY (CNM ARNP)
Entity Type:Individual
Prefix:
First Name:AUTUMN
Middle Name:BRITTANY
Last Name:SCHMOKER
Suffix:
Gender:F
Credentials:CNM ARNP
Other - Prefix:
Other - First Name:AUTUMN
Other - Middle Name:BRITTANY
Other - Last Name:GROSSNICKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM ARNP
Mailing Address - Street 1:407 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-1928
Mailing Address - Country:US
Mailing Address - Phone:641-752-4681
Mailing Address - Fax:
Practice Address - Street 1:407 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1928
Practice Address - Country:US
Practice Address - Phone:641-752-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB117967367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife