Provider Demographics
NPI:1972070423
Name:SCHLOSSER, MISCHELL E (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MISCHELL
Middle Name:E
Last Name:SCHLOSSER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:MISCHELL
Other - Middle Name:E
Other - Last Name:HELBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:10781 CABLE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9601
Mailing Address - Country:US
Mailing Address - Phone:419-439-0678
Mailing Address - Fax:419-842-3047
Practice Address - Street 1:2940 N MCCORD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1753
Practice Address - Country:US
Practice Address - Phone:419-842-3000
Practice Address - Fax:419-842-3047
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00026097363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0332603Medicaid
MI1972070423Medicaid