Individual
JULIE CHOMICH SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 737-1549
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-1549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
066408
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
003299
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400001405
MEDICARE PTAN
CT
Enumeration date
04/07/2006
Last updated
08/11/2016
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