Provider Demographics
NPI:1174047203
Name:SCHMAHLENBERGER, KIRBY ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:KIRBY
Middle Name:ANN
Last Name:SCHMAHLENBERGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KIRBY
Other - Middle Name:ANN
Other - Last Name:SPLITTORFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:100 S ROSENBERGER AVE STE A200
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-6505
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 S ROSENBERGER AVE STE A200
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-6505
Practice Address - Country:US
Practice Address - Phone:812-401-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007369A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily