Provider Demographics
NPI:1871220749
Name:SCHMIDT, BIANCA (APRN, AGCNS)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:APRN, AGCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 E 47TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-3309
Mailing Address - Country:US
Mailing Address - Phone:832-585-4955
Mailing Address - Fax:
Practice Address - Street 1:812 E 47TH ST UNIT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-3309
Practice Address - Country:US
Practice Address - Phone:832-585-4955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1006084364SG0600X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No163W00000XNursing Service ProvidersRegistered Nurse