1588413207 NPI number — MIKAYLA KIMISE SCHWARTZMILLER CNM, WHNP-BC

Table of content: MIKAYLA KIMISE SCHWARTZMILLER CNM, WHNP-BC (NPI 1588413207)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588413207 NPI number — MIKAYLA KIMISE SCHWARTZMILLER CNM, WHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZMILLER
Provider First Name:
MIKAYLA
Provider Middle Name:
KIMISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNM, WHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DEMARINO
Provider Other First Name:
MIKAYLA
Provider Other Middle Name:
KIMISE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588413207
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
259 N CENTRAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANONSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15317-3807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-678-9855
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
835 HOSPITAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-3629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-357-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  SP029760 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)