Provider Demographics
| NPI: | 1144419318 |
|---|---|
| Name: | SCHMIDT, ANNE MARIE (APRN CNS) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | ANNE |
| Middle Name: | MARIE |
| Last Name: | SCHMIDT |
| Suffix: | |
| Gender: | F |
| Credentials: | APRN CNS |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 802 S JACKSON AVE STE 301 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TULSA |
| Mailing Address - State: | OK |
| Mailing Address - Zip Code: | 74127-9057 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 918-582-3154 |
| Mailing Address - Fax: | 918-582-3593 |
| Practice Address - Street 1: | 6465 S YALE AVE STE 401 |
| Practice Address - Street 2: | |
| Practice Address - City: | TULSA |
| Practice Address - State: | OK |
| Practice Address - Zip Code: | 74136-7806 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 918-561-6141 |
| Practice Address - Fax: | 918-582-3593 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-10-23 |
| Last Update Date: | 2023-07-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OK | 80562 | 364S00000X |
| OK | R80562 | 363L00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| No | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OK | 80562 | Other | RN LICENSES |