Provider Demographics
NPI:1790034155
Name:LADIES FIRST KRYSTEN SCHMIDT NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Entity Type:Organization
Organization Name:LADIES FIRST KRYSTEN SCHMIDT NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Other - Org Name:LADIES FIRST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:585-356-3467
Mailing Address - Street 1:108 BANK ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-2216
Mailing Address - Country:US
Mailing Address - Phone:585-343-6600
Mailing Address - Fax:585-343-6601
Practice Address - Street 1:108 BANK ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020
Practice Address - Country:US
Practice Address - Phone:585-343-6600
Practice Address - Fax:585-343-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3344081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02629270Medicaid
NYAA1287Medicare PIN
NYQ63815Medicare UPIN