MEDICARE: DONNER ANNE SCHWEITZER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0001	AZ

General Provider Information

NPI Number	:	1114585841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNER ANNE SCHWEITZER FNP

Provider Business Mailing Address
First Line	:	650 N 300 W APT 216
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-1367
Country	:	US
Telephone Number	:	801-513-9146
Fax Number	:

Provider Business Practice Location Address
First Line	:	3702 S STATE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-5078
Country	:	US
Telephone Number	:	801-513-9146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2019
Last Update Date	:	05/29/2019

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