Healthcare Provider Details

I. General information

NPI: 1750694410
Provider Name (Legal Business Name): DEBRA S SCHMIDT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 W THEO TREKR WAY FMC CENTRE POINT DIALYSIS
WEST ALLIS WI
53214-1135
US

IV. Provider business mailing address

5000 W NATIONAL AVE CC111K NEPHROLGY DEPT RM 5432
MILWAUKEE WI
53295-0001
US

V. Phone/Fax

Practice location:
  • Phone: 414-774-1244
  • Fax: 414-774-8130
Mailing address:
  • Phone: 414-384-2000
  • Fax: 414-383-9333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: