Provider Demographics
NPI:1437020096
Name:SCHMITZ, AMANDA D (FNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:D
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44060 CAMINO AZUL
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-3951
Mailing Address - Country:US
Mailing Address - Phone:248-979-8855
Mailing Address - Fax:
Practice Address - Street 1:44060 CAMINO AZUL
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-3951
Practice Address - Country:US
Practice Address - Phone:248-979-8855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine