MEDICARE: NICHOLE SCHMIDT DNP, CRNP

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	363LF0000X	Family Nurse Practitioner	SP024584	PA

General Provider Information

NPI Number	:	1962161208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLE SCHMIDT DNP, CRNP

Provider Business Mailing Address
First Line	:	210 HASTINGS CT
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-2547
Country	:	US
Telephone Number	:	609-408-6113
Fax Number	:

Provider Business Practice Location Address
First Line	:	882 JACKSONVILLE RD
Second Line	:
City	:	IVYLAND
State	:	PA
Zip	:	18974-4807
Country	:	US
Telephone Number	:	267-388-0300
Fax Number	:

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

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	07/24/2025

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