Healthcare Provider Details

I. General information

NPI: 1679580260
Provider Name (Legal Business Name): DALE LYNN SCHMIDT ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 CLAY EDWARDS DR SUITE 300
NORTH KANSAS CITY MO
64116-3276
US

IV. Provider business mailing address

9411 N OAK TRFY SUITE LL1
KANSAS CITY MO
64155-2233
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-5232
  • Fax: 816-346-7038
Mailing address:
  • Phone: 816-436-7072
  • Fax: 816-436-2743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number44323
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2012022796
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: