MEDICARE: RACHEL SCHMIDT FNP

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
1	163W00000X	Registered Nurse	RN205716	AZ
2	363L00000X	Nurse Practitioner	MLS127733IA	IA
3	363L00000X	Nurse Practitioner	AP8740	AZ

General Provider Information

NPI Number	:	1154772721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SCHMIDT FNP

Provider Business Mailing Address
First Line	:	738 N CACTUS WAY
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-1761
Country	:	US
Telephone Number	:	515-556-1640
Fax Number	:	480-753-5952

Provider Business Practice Location Address
First Line	:	2152 S VINEYARD STE 118
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-6881
Country	:	US
Telephone Number	:	480-801-2416
Fax Number	:	480-801-2417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	07/13/2021

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