| NPI | 1023499860 |
|---|---|
| Former Name | KELLY LYNN SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP7895) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AZ AP7895) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7895) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP7895) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-04-15 |