Healthcare Provider Details

I. General information

NPI: 1508826470
Provider Name (Legal Business Name): CINDY LEE SCHMITZ ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 TURNBERRY DR
WAUNAKEE WI
53597-2255
US

IV. Provider business mailing address

810 TURNBERRY DR
WAUNAKEE WI
53597-2255
US

V. Phone/Fax

Practice location:
  • Phone: 608-206-0994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number106721
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: