Provider Demographics
NPI:1881284677
Name:SCHMID, MIRANDA KAY
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:KAY
Last Name:SCHMID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 S FIRESTONE RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-9726
Mailing Address - Country:US
Mailing Address - Phone:330-347-5842
Mailing Address - Fax:
Practice Address - Street 1:1508 S FIRESTONE RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-9726
Practice Address - Country:US
Practice Address - Phone:330-347-5842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide