Healthcare Provider Details

I. General information

NPI: 1013464833
Provider Name (Legal Business Name): ANNIE SCHUETTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 01/29/2023
Certification Date: 01/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE PULMONARY DISEASE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

50 S B B KING BLVD STE 100
MEMPHIS TN
38103-9802
US

V. Phone/Fax

Practice location:
  • Phone: 414-955-7040
  • Fax: 414-955-6211
Mailing address:
  • Phone: 866-949-0108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number7218-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: