Provider Demographics
NPI:1891915815
Name:SCHMIDT, INDIA MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:INDIA
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:INDIA
Other - Middle Name:MARIE
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:83 EAST 1ST ST
Mailing Address - City:COTTONWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56229-0202
Mailing Address - Country:US
Mailing Address - Phone:507-423-1075
Mailing Address - Fax:
Practice Address - Street 1:106 NORTH 4TH AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1034
Practice Address - Country:US
Practice Address - Phone:218-998-3778
Practice Address - Fax:218-998-3187
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1616875163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse