Provider Demographics
NPI:1508390998
Name:NELLIKAPPALLIL, ANNA MARIA SCHWEITZER (MSN, APRN, CNM)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA SCHWEITZER
Last Name:NELLIKAPPALLIL
Suffix:
Gender:F
Credentials:MSN, APRN, CNM
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:SCHWEITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 W MAGNOLIA AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-7660
Mailing Address - Country:US
Mailing Address - Phone:817-702-2927
Mailing Address - Fax:817-702-7315
Practice Address - Street 1:1500 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4917
Practice Address - Country:US
Practice Address - Phone:817-702-1081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133737176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife