Healthcare Provider Details

I. General information

NPI: 1275021131
Provider Name (Legal Business Name): ERIN C SCHMIDT CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 MACK RD STE 310
FAIRFIELD OH
45014
US

IV. Provider business mailing address

3050 MACK RD STE 310
FAIRFIELD OH
45014-5376
US

V. Phone/Fax

Practice location:
  • Phone: 513-924-8895
  • Fax:
Mailing address:
  • Phone: 513-924-8895
  • Fax: 513-924-8909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.022824
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN.CNP.022824
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.343590
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: