Individual
KELLY L SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
103082
WI
367A00000X
Advanced Practice Midwife
Primary
103082
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00224
MEDICA
MN
01
—
27G49SC
BCBS MN FACILITY
MN
05
—
39965600
—
WI
01
—
64Q39SC
BCBS MN PRO FEE
MN
05
—
960519300
—
MN
01
—
HP21327
HEALTHPARTNERS
MN
01
—
NA9031012739
PREFERRED ONE
MN
Enumeration date
10/24/2006
Last updated
02/02/2021
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