Individual
HEATHER ANN SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12266 DE PAUL DR STE 205, BRIDGETON, MO 63044-2514
(314) 218-2300
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601012487
—
363AS0400X
Surgical Physician Assistant
Primary
2003008000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057418
NCCPA CERT #
MO
Enumeration date
07/10/2006
Last updated
08/21/2024
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