Provider Demographics
NPI:1528626397
Name:SCHMALL, KRISTINA L (ARNP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:L
Last Name:SCHMALL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 PLEASANT ST STE 303
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1422
Mailing Address - Country:US
Mailing Address - Phone:515-241-4311
Mailing Address - Fax:515-241-4320
Practice Address - Street 1:1215 PLEASANT ST STE 303
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1422
Practice Address - Country:US
Practice Address - Phone:515-241-4311
Practice Address - Fax:515-241-4320
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC-154279363L00000X
IAC154279363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner