MEDICARE: MRS. CHERYL ANN SCHMITT RN

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	RN220525L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN220525L	OTHER	PA	REGISTERED NURSE

General Provider Information

NPI Number	:	1639234941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERYL ANN SCHMITT RN

Provider Business Mailing Address
First Line	:	CMR 480 BOX 134
Second Line	:
City	:	APO
State	:	AE
Zip	:	09128
Country	:	DE
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	STUTTGART HEALTH CLINIC
Second Line	:	PATCH BARRACKS UNIT 30401
City	:	APO
State	:	AE
Zip	:	09128
Country	:	DE
Telephone Number	:	07116808610
Fax Number	:	07116808619

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	07/08/2007

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