Provider Demographics
NPI:1881690907
Name:SCHMIDT, MARGARET IRENE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:IRENE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 E 103RD ST S
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-9416
Mailing Address - Country:US
Mailing Address - Phone:316-942-0221
Mailing Address - Fax:
Practice Address - Street 1:3050 REGENT BLVD STE 400
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5808
Practice Address - Country:US
Practice Address - Phone:214-689-8062
Practice Address - Fax:316-942-6012
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45238363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner