Provider Demographics
NPI:1750520268
Name:SCHMITT, TONYA MARIA (NP)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:MARIA
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:15255 NORTHLINE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-2487
Mailing Address - Country:US
Mailing Address - Phone:734-285-3090
Mailing Address - Fax:734-285-3095
Practice Address - Street 1:15255 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2487
Practice Address - Country:US
Practice Address - Phone:734-285-3090
Practice Address - Fax:734-285-3095
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704184295163WS0121X, 363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner