Provider Demographics
NPI:1699559989
Name:SCHMIDT RODRIGUEZ, BEVERLY (CRNP)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:SCHMIDT RODRIGUEZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-824-8185
Mailing Address - Fax:724-824-8191
Practice Address - Street 1:304 EVANS DR STE 401
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1478
Practice Address - Country:US
Practice Address - Phone:724-824-8185
Practice Address - Fax:724-824-8191
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP028172363LF0000X
PARN577415163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse