MEDICARE: APRIL SCHMIDT CRNA

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
1	163W00000X	Registered Nurse	165106	NC
2	367500000X	Certified Registered Nurse Anesthetist	092668	NC

General Provider Information

NPI Number	:	1699112839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL SCHMIDT CRNA

Provider Business Mailing Address
First Line	:	108 MALLARD DR
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889
Country	:	US
Telephone Number	:	252-947-1246
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 MALLARD DR
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-3228
Country	:	US
Telephone Number	:	252-947-1246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	05/29/2013

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