Healthcare Provider Details

I. General information

NPI: 1437603263
Provider Name (Legal Business Name): LAURA T SCHMIDT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S GRAND BLVD FL 1
SAINT LOUIS MO
63104-1016
US

IV. Provider business mailing address

1225 S GRAND BLVD FL 1
SAINT LOUIS MO
63104-1016
US

V. Phone/Fax

Practice location:
  • Phone: 314-257-3390
  • Fax: 314-257-3391
Mailing address:
  • Phone: 314-257-3390
  • Fax: 314-257-3391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2016009881
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: