Provider Demographics
NPI:1962778407
Name:SCHMIDTLEIN, MARGARET MARY (APRN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:SCHMIDTLEIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:MARY
Other - Last Name:LUDEWIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:3406 BROADWAY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2767
Mailing Address - Country:US
Mailing Address - Phone:816-756-5839
Mailing Address - Fax:816-756-5874
Practice Address - Street 1:3406 BROADWAY BLVD STE B
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2767
Practice Address - Country:US
Practice Address - Phone:816-756-5839
Practice Address - Fax:816-756-5874
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5375626041363LF0000X
MO2012009895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily