Provider Demographics
NPI:1588683502
Name:SCHILLING, ANN E (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:E
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CHATEAU DR
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-2152
Mailing Address - Country:US
Mailing Address - Phone:219-864-1602
Mailing Address - Fax:219-765-9623
Practice Address - Street 1:2507 CHESTER BLVD
Practice Address - Street 2:CARE CLINIC
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1105
Practice Address - Country:US
Practice Address - Phone:765-935-3571
Practice Address - Fax:765-962-3978
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001786A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INQ52753Medicare UPIN
IN141980YMedicare ID - Type Unspecified
ILK47401Medicare PIN
ILK47400Medicare PIN