Provider Demographics
NPI:1811735004
Name:SCHMIDT, HEIDI (FULL-SPECTRUM DOULA)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:FULL-SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MONROE ST APT EE11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7861
Mailing Address - Country:US
Mailing Address - Phone:717-715-9425
Mailing Address - Fax:
Practice Address - Street 1:38 MONROE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7792
Practice Address - Country:US
Practice Address - Phone:717-715-9425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula