Provider Demographics
NPI:1780376608
Name:SCHMIDT, ALISON MCCLAIN (DNP, CNM, FNP-BC, RN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:MCCLAIN
Last Name:SCHMIDT
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Gender:F
Credentials:DNP, CNM, FNP-BC, RN
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Mailing Address - Street 1:20045 HOLIDAY RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5901 W VERNOR HWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209-2180
Practice Address - Country:US
Practice Address - Phone:313-554-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
367A00000X
MI4704362103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife