Provider Demographics
NPI:1851783088
Name:SCHMID, JANELL E (NP)
Entity Type:Individual
Prefix:
First Name:JANELL
Middle Name:E
Last Name:SCHMID
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 W 12 MILE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1868
Mailing Address - Country:US
Mailing Address - Phone:248-543-3700
Mailing Address - Fax:248-543-4180
Practice Address - Street 1:1949 W 12 MILE RD
Practice Address - Street 2:STE 200
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1868
Practice Address - Country:US
Practice Address - Phone:248-543-3700
Practice Address - Fax:248-543-4180
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704252067363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner