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NPI Code Detail

MEDICARE: MRS. DIANE SCHMIDT CRNP

MEDICARE:  MRS. DIANE  SCHMIDT  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR146757MD

General Provider Information

NPI Number : 1689679763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE SCHMIDT CRNP
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6535 N CHARLES ST STE 500
Second Line :
City : TOWSON
State : MD
Zip : 21204-5832
Country : US
Telephone Number : 410-825-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/12/2025

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Directions to “ MRS. DIANE SCHMIDT CRNP” Practice Location

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