| NPI | 1740683416 |
|---|---|
| Former Name | SHANNON PATRICIA SCHMITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN CNP2962) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: MN R196543-2) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN R196543-2) | |
| 163W00000X Registered Nurse (Licence: MN R1965432) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2015-11-25 |