Individual
TILLY SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP, FNP
Contact information
Practice address
300 W WELSH ST, WILLIAMSBURG, IA 52361-9485
(319) 660-0005
Mailing address
300 W WELSH ST, WILLIAMSBURG, IA 52361-9485
(319) 660-0005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015010522
MO
363LF0000X
Family Nurse Practitioner
115680
NE
363LF0000X
Family Nurse Practitioner
2024023335
MO
363LF0000X
Family Nurse Practitioner
Primary
F179509
IA
363LW0102X
Women's Health Nurse Practitioner
2016040786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016040786
LICENSE
MO
Enumeration date
11/30/2016
Last updated
05/28/2025
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