Healthcare Provider Details

I. General information

NPI: 1962903427
Provider Name (Legal Business Name): AVA LIANNA SCHMIDT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AVA LIANNA CALBERT FNP

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 FRANKLIN ST
CHICO CA
95928
US

IV. Provider business mailing address

2012 FRANKLIN ST
CHICO CA
95928-6727
US

V. Phone/Fax

Practice location:
  • Phone: 530-809-1902
  • Fax:
Mailing address:
  • Phone: 530-809-1902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number444985
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95009836
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: