Healthcare Provider Details
I. General information
NPI: 1063815769
Provider Name (Legal Business Name): NEVA M. SCHMELZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/08/2014
Last Update Date: 01/27/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 PARK BEND DR BLDG 1 SUITE 401
AUSTIN TX
78758-5387
US
IV. Provider business mailing address
2200 PARK BEND DR BLDG 1 SUITE 401
AUSTIN TX
78758-5387
US
V. Phone/Fax
- Phone: 512-807-3160
- Fax: 512-339-7838
- Phone: 512-807-3160
- Fax: 512-339-7838
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP126117 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: