Provider Demographics
NPI:1063411395
Name:SCHMIDT, MANYA P (APRN)
Entity type:Individual
Prefix:
First Name:MANYA
Middle Name:P
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1407
Mailing Address - Country:US
Mailing Address - Phone:785-251-5700
Mailing Address - Fax:785-354-4319
Practice Address - Street 1:2115 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1407
Practice Address - Country:US
Practice Address - Phone:785-251-5700
Practice Address - Fax:785-354-4319
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44060363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSR31610Medicare UPIN