Healthcare Provider Details

I. General information

NPI: 1912840729
Provider Name (Legal Business Name): CARMEN SCHMOLDT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W LEOTA ST
NORTH PLATTE NE
69101-6525
US

IV. Provider business mailing address

601 W LEOTA ST
NORTH PLATTE NE
69101-6525
US

V. Phone/Fax

Practice location:
  • Phone: 308-568-7386
  • Fax:
Mailing address:
  • Phone: 308-568-7386
  • Fax: 308-568-7869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number66084
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: