Provider Demographics
NPI:1750694410
Name:SCHMIDT, DEBRA S (RN)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:S
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN
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Other - Credentials:
Mailing Address - Street 1:5000 W NATIONAL AVE
Mailing Address - Street 2:CC111K NEPHROLGY DEPT RM 5432
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53295-0001
Mailing Address - Country:US
Mailing Address - Phone:414-384-2000
Mailing Address - Fax:414-383-9333
Practice Address - Street 1:11340 W THEO TREKR WAY
Practice Address - Street 2:FMC CENTRE POINT DIALYSIS
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-1135
Practice Address - Country:US
Practice Address - Phone:414-774-1244
Practice Address - Fax:414-774-8130
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
SSNOtherSSN