Provider Demographics
NPI:1053162909
Name:SCHMIDT, MICHELLE DAWNYE' (RN, PHN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:DAWNYE'
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:DAWNYE'
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-0400
Mailing Address - Country:US
Mailing Address - Phone:530-567-7124
Mailing Address - Fax:530-527-0362
Practice Address - Street 1:1860 WALNUT ST BLDG C
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-3611
Practice Address - Country:US
Practice Address - Phone:530-567-7124
Practice Address - Fax:530-527-0362
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA458547163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health