Healthcare Provider Details

I. General information

NPI: 1841838539
Provider Name (Legal Business Name): MARIELLE ERIKA SCHMITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 E 72ND ST # 1W
NEW YORK NY
10021-4574
US

IV. Provider business mailing address

5 S 5TH ST APT 4006
BROOKLYN NY
11249-5462
US

V. Phone/Fax

Practice location:
  • Phone: 323-931-4084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2329957
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11001849
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN04047
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number352920
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95011047
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: