Healthcare Provider Details

I. General information

NPI: 1750661021
Provider Name (Legal Business Name): HEATHER L. SCHMIDTKNECHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER L. REPINSKI NP

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 W CLAIREMONT AVE STE 3
EAU CLAIRE WI
54701-6191
US

IV. Provider business mailing address

W751 HESCH VALLEY RD
COCHRANE WI
54622-8138
US

V. Phone/Fax

Practice location:
  • Phone: 855-607-8242
  • Fax:
Mailing address:
  • Phone: 507-429-9985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number6319-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number120937-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: