MEDICARE: TERRI HIRJAK SCHMIDT APN

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	363L00000X	Nurse Practitioner	APN001128	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992931612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI HIRJAK SCHMIDT APN

Provider Business Mailing Address
First Line	:	5975 S LOS ALTOS PKWY
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-7699
Country	:	US
Telephone Number	:	775-204-4000
Fax Number	:	775-204-4001

Provider Business Practice Location Address
First Line	:	5975 S LOS ALTOS PKWY
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-7699
Country	:	US
Telephone Number	:	775-204-4000
Fax Number	:	775-204-4001

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

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	03/17/2021

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