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NPI Code Detail

MEDICARE: AMANDA LEE SCHMIDT BSN, APNP, PMHNP-BC

MEDICARE: AMANDA LEE SCHMIDT BSN, APNP, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner17441-33WI

General Provider Information

NPI Number : 1063384386
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LEE SCHMIDT BSN, APNP, PMHNP-BC
Provider Business Mailing Address
First Line : N5404 COUNTY ROAD Q
Second Line :
City : JEFFERSON
State : WI
Zip : 53549-9431
Country : US
Telephone Number : 920-723-4789
Fax Number :
Provider Business Practice Location Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 09/18/2025

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