Provider Demographics
NPI:1952372021
Name:SCHMIDT, PATRICIA (WHNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 WABASH ST
Mailing Address - Street 2:SUITE 500A
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-4300
Mailing Address - Country:US
Mailing Address - Phone:219-861-8785
Mailing Address - Fax:219-861-8789
Practice Address - Street 1:1507 WABASH ST
Practice Address - Street 2:SUITE 500A
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-4300
Practice Address - Country:US
Practice Address - Phone:219-861-8785
Practice Address - Fax:219-861-8789
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28063751A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000371654OtherANTHEM
IN200190600Medicaid
S35360Medicare UPIN
IN217230UUMedicare PIN
IN000000371654OtherANTHEM