Provider Demographics
NPI:1942755533
Name:SCHMIDT, ANN MARIE (ANP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:ZEHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:100 HIGH STREET
Mailing Address - Street 2:SPECIALTY CLINIC
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-859-1168
Mailing Address - Fax:716-859-3352
Practice Address - Street 1:100 HIGH STREET
Practice Address - Street 2:SPECIALTY CLINIC
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-859-1168
Practice Address - Fax:716-859-3352
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307733363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner