Healthcare Provider Details

I. General information

NPI: 1942265848
Provider Name (Legal Business Name): ANNE SCHMIDLIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4871 PROSPERITY PL
CINCINNATI OH
45238-4027
US

IV. Provider business mailing address

PO BOX 485
ROSS OH
45061-0485
US

V. Phone/Fax

Practice location:
  • Phone: 513-623-0305
  • Fax: 513-738-3038
Mailing address:
  • Phone: 513-623-0305
  • Fax: 513-738-3038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN254391
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: