Individual
JUDY BLACK-SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30004938
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126914
L&I
AL
01
—
315955
L&I POST 7/21/13
WA
05
—
9622630
—
WA
Enumeration date
06/26/2006
Last updated
01/03/2014
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