Healthcare Provider Details

I. General information

NPI: 1154772721
Provider Name (Legal Business Name): RACHEL SCHMIDT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2152 S VINEYARD STE 118
MESA AZ
85210-6881
US

IV. Provider business mailing address

738 N CACTUS WAY
CHANDLER AZ
85226-1761
US

V. Phone/Fax

Practice location:
  • Phone: 480-801-2416
  • Fax: 480-801-2417
Mailing address:
  • Phone: 515-556-1640
  • Fax: 480-753-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberMLS127733IA
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP8740
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN205716
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: