Provider Demographics
NPI:1023792082
Name:SCHMITZ, MIHAELA (LVN)
Entity type:Individual
Prefix:
First Name:MIHAELA
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 CALLE ANDALUCIA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1124
Mailing Address - Country:US
Mailing Address - Phone:805-570-3672
Mailing Address - Fax:
Practice Address - Street 1:2424 CALLE ANDALUCIA
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1124
Practice Address - Country:US
Practice Address - Phone:805-570-3672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA704149164X00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty