Provider Demographics
NPI:1881067460
Name:SCHMIDT, CHERYL A (ARNP, CPNP-PC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:ARNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6352 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2241
Mailing Address - Country:US
Mailing Address - Phone:727-842-3616
Mailing Address - Fax:727-847-0427
Practice Address - Street 1:6352 RIVER RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2241
Practice Address - Country:US
Practice Address - Phone:727-842-3616
Practice Address - Fax:727-847-0427
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2694672364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics