Provider Demographics
NPI:1114585841
Name:SCHWEITZER, DONNER ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:DONNER
Middle Name:ANNE
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DONNER
Other - Middle Name:
Other - Last Name:CARDENAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 N 300 W APT 216
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-1367
Mailing Address - Country:US
Mailing Address - Phone:801-513-9146
Mailing Address - Fax:
Practice Address - Street 1:3702 S STATE ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-5078
Practice Address - Country:US
Practice Address - Phone:801-513-9146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily