Healthcare Provider Details

I. General information

NPI: 1639234941
Provider Name (Legal Business Name): CHERYL ANN SCHMITT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STUTTGART HEALTH CLINIC PATCH BARRACKS UNIT 30401
APO AE
09128
DE

IV. Provider business mailing address

CMR 480 BOX 134
APO AE
09128
DE

V. Phone/Fax

Practice location:
  • Phone: 07116808610
  • Fax: 07116808619
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN220525L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: