Healthcare Provider Details

I. General information

NPI: 1477461531
Provider Name (Legal Business Name): SEOLHEE SCHIMKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOPHIE SCHIMKE

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 CENTRAL SCHOOL DR
WILLISTON VT
05495-9411
US

IV. Provider business mailing address

36 GREENFIELD RD
ESSEX JUNCTION VT
05452-3922
US

V. Phone/Fax

Practice location:
  • Phone: 802-878-2762
  • Fax:
Mailing address:
  • Phone: 231-396-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0156823
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: