Provider Demographics
NPI:1700067352
Name:SCHULTE, ANN M (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:CPNP
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Other - First Name:
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Mailing Address - Street 1:12348 OLD TESSON RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2251
Mailing Address - Country:US
Mailing Address - Phone:314-467-3800
Mailing Address - Fax:314-467-3801
Practice Address - Street 1:12348 OLD TESSON RD
Practice Address - Street 2:SUITE 160
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2251
Practice Address - Country:US
Practice Address - Phone:314-467-3800
Practice Address - Fax:314-467-3801
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO154676363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics