Provider Demographics
NPI:1760170880
Name:SCHALLER, ANNA ELIN (PMHNP-BC, APN, RN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ELIN
Last Name:SCHALLER
Suffix:
Gender:F
Credentials:PMHNP-BC, APN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 W DRY CREEK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4457
Mailing Address - Country:US
Mailing Address - Phone:720-500-5177
Mailing Address - Fax:720-222-5729
Practice Address - Street 1:4 W DRY CREEK CIR STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4457
Practice Address - Country:US
Practice Address - Phone:720-500-5177
Practice Address - Fax:720-222-5729
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1635478163W00000X
COAPN.0999577-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse