Provider Demographics
NPI:1912664012
Name:SCHMELZER, DONNA SKYE (PA-C)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:SKYE
Last Name:SCHMELZER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N GARDNER ST APT 9
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-8507
Mailing Address - Country:US
Mailing Address - Phone:352-226-6423
Mailing Address - Fax:
Practice Address - Street 1:1400 N GARDNER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-8507
Practice Address - Country:US
Practice Address - Phone:352-226-6423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical