Evan Jon Schmidt, RN
Registered Nurse in Providence, RI. Individual provider (NPI-1).
NPI number1255048856
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1255048856
- Entity type
- Individual (NPI-1)
- Name
- Evan Jon Schmidt
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN73825 | RI | Yes |
Practice location
530 N Main StProvidence, RI 02904-5762
Phone 401-443-5893
Mailing address
54 Hillside AveProvidence, RI 02906-2916
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