Provider Demographics
NPI:1699057224
Name:SCHMIDT, NATALIE R (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:R
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:R
Other - Last Name:ELPERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:6040 W. 84TH ST.
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-1360
Mailing Address - Country:US
Mailing Address - Phone:317-956-6284
Mailing Address - Fax:317-956-6289
Practice Address - Street 1:6040 W. 84TH ST.
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1360
Practice Address - Country:US
Practice Address - Phone:317-956-6284
Practice Address - Fax:317-956-6289
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003671363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner