Provider Demographics
NPI:1891886206
Name:SCHMITT, NICOLE (LMP-C)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:LMP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12918 NE 149TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4638
Mailing Address - Country:US
Mailing Address - Phone:425-488-2699
Mailing Address - Fax:425-908-7001
Practice Address - Street 1:12918 NE 149TH ST
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4638
Practice Address - Country:US
Practice Address - Phone:425-488-2699
Practice Address - Fax:425-908-7001
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00012287174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist