Healthcare Provider Details

I. General information

NPI: 1063167112
Provider Name (Legal Business Name): ANNA MARSCHNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 POINTE CENTRE DR STE 230
CHATTANOOGA TN
37421-4094
US

IV. Provider business mailing address

6643 BUCKSLAND DR
OOLTEWAH TN
37363-6487
US

V. Phone/Fax

Practice location:
  • Phone: 844-893-0012
  • Fax:
Mailing address:
  • Phone: 814-860-0698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000030942
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: