Provider Demographics
NPI:1558509760
Name:GERACI, ANN SCHMUTZER (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:SCHMUTZER
Last Name:GERACI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:EMERT
Other - Last Name:SCHMUTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 RAINBOW CIR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-2322
Mailing Address - Country:US
Mailing Address - Phone:423-779-6578
Mailing Address - Fax:
Practice Address - Street 1:1 SISKIN PLZ
Practice Address - Street 2:SUITE 101
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-1306
Practice Address - Country:US
Practice Address - Phone:423-634-4226
Practice Address - Fax:423-634-4222
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily