Individual
MIKALA SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2810 DUPONT COMMERCE CT, FORT WAYNE, IN 46825-2393
(260) 490-7337
Mailing address
9828 HIDDEN VILLAGE PL, FORT WAYNE, IN 46835-9385
(260) 557-4349
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28236383A
IN
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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