Provider Demographics
NPI:1255188074
Name:SCHUMACHER, MINDY
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:SCHUMACHER
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 1:3510 98TH ST SE
Mailing Address - Street 2:
Mailing Address - City:VENTURIA
Mailing Address - State:ND
Mailing Address - Zip Code:58413-9137
Mailing Address - Country:US
Mailing Address - Phone:701-731-0180
Mailing Address - Fax:
Practice Address - Street 1:3510 98TH ST SE
Practice Address - Street 2:
Practice Address - City:VENTURIA
Practice Address - State:ND
Practice Address - Zip Code:58413
Practice Address - Country:US
Practice Address - Phone:701-731-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR52790163WX0003X, 163WN0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-Risk
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient