Provider Demographics
NPI:1376006585
Name:SCHMIDT, ANGELA SUSAN (NP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:SUSAN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 CANTRELL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4134
Mailing Address - Country:US
Mailing Address - Phone:501-260-7992
Mailing Address - Fax:501-260-7993
Practice Address - Street 1:6805 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4134
Practice Address - Country:US
Practice Address - Phone:501-260-7992
Practice Address - Fax:501-260-7993
Is Sole Proprietor?:No
Enumeration Date:2019-04-14
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215364363LF0000X
WV103786363LF0000X
WV93458163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine