Provider Demographics
NPI:1659184422
Name:SCHMIDT, JOAN MARIE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 TECHNOLOGY TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4930
Mailing Address - Country:US
Mailing Address - Phone:941-727-7772
Mailing Address - Fax:
Practice Address - Street 1:10910 TECHNOLOGY TER
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34211-4930
Practice Address - Country:US
Practice Address - Phone:941-727-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036141363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner