Individual
KASSIDY SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-7688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0030684
OH
363L00000X
Nurse Practitioner
Primary
RN2364422
MA
Other
Enumeration date
02/07/2022
Last updated
12/28/2022
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