Individual
JOAN THERESE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1226 W RIVER ST, BOISE, ID 83702-7049
(208) 331-1155
Mailing address
4738 S LONGMOOR AVE, BOISE, ID 83709-4480
(208) 562-1214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172706
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172706
STATE OF COLORADO
CO
Enumeration date
11/21/2008
Last updated
11/21/2008
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