Provider Demographics
NPI:1942011002
Name:SCHMITZ, SANDY LEE (FNP)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:LEE
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 1:13120 BRIDLE BIT RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-3272
Mailing Address - Country:US
Mailing Address - Phone:562-412-2618
Mailing Address - Fax:
Practice Address - Street 1:13120 BRIDLE BIT RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-3272
Practice Address - Country:US
Practice Address - Phone:562-412-2618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAP.1000465-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care