Provider Demographics
NPI:1598510711
Name:SCHMIDT, SAKAI (FNP)
Entity type:Individual
Prefix:
First Name:SAKAI
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SAKAI
Other - Middle Name:
Other - Last Name:SCHEFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13018 KIMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOLO
Mailing Address - State:MT
Mailing Address - Zip Code:59847-9621
Mailing Address - Country:US
Mailing Address - Phone:406-240-5397
Mailing Address - Fax:
Practice Address - Street 1:2831 FORT MISSOULA RD STE 302
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7401
Practice Address - Country:US
Practice Address - Phone:406-493-1600
Practice Address - Fax:406-493-6777
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-104287163W00000X
MTNUR-APRN-LIC-239269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse