Healthcare Provider Details

I. General information

NPI: 1306079637
Provider Name (Legal Business Name): CYNTHIA A SCHMITT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA A HUMPHREY NP

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 02/03/2020
Certification Date: 02/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 7TH ST N
NAPLES FL
34102-5754
US

IV. Provider business mailing address

1633 N CAPITOL AVE STE 780
INDIANAPOLIS IN
46202-1292
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-8250
  • Fax: 239-624-8251
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11002387
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: