Healthcare Provider Details

I. General information

NPI: 1255203311
Provider Name (Legal Business Name): SUE E. SCHMIDT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 26TH ST W
BRADENTON FL
34207-1706
US

IV. Provider business mailing address

101 RIVERFRONT BLVD STE 710
BRADENTON FL
34205-8823
US

V. Phone/Fax

Practice location:
  • Phone: 941-753-7843
  • Fax:
Mailing address:
  • Phone: 941-776-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11041802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: