Healthcare Provider Details

I. General information

NPI: 1194945303
Provider Name (Legal Business Name): SHERYLYN J SCHMIDT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MITCHELL RD
BEDFORD IN
47421-4700
US

IV. Provider business mailing address

2415 MITCHELL RD
BEDFORD IN
47421-4700
US

V. Phone/Fax

Practice location:
  • Phone: 812-279-6222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71000042
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71000042
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: