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? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Single Specialty |