Healthcare Provider Details
I. General information
NPI: 1215966676
Provider Name (Legal Business Name): DIANNE MARIE SCHMIDT ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2006
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 TUNNEL RD
ASHEVILLE NC
28805-2576
US
IV. Provider business mailing address
64 RAYMOND RD
PENFIELD NY
14526-2239
US
V. Phone/Fax
- Phone: 828-298-7911
- Fax: 828-299-5983
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | F300153 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | F3001153-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: