Provider Demographics
NPI:1700438157
Name:VICKI L SCHMIDT FNP-C PLLC
Entity Type:Organization
Organization Name:VICKI L SCHMIDT FNP-C PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-C
Authorized Official - Phone:702-328-3288
Mailing Address - Street 1:4024 THOMAS PATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-8940
Mailing Address - Country:US
Mailing Address - Phone:702-328-3288
Mailing Address - Fax:702-745-2812
Practice Address - Street 1:1311 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3309
Practice Address - Country:US
Practice Address - Phone:702-328-3288
Practice Address - Fax:702-745-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty