Provider Demographics
NPI:1255758223
Name:SCHUETTGE, ANNA GOULD (MSN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:GOULD
Last Name:SCHUETTGE
Suffix:
Gender:F
Credentials:MSN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1011
Mailing Address - Country:US
Mailing Address - Phone:215-427-3725
Mailing Address - Fax:215-427-4316
Practice Address - Street 1:160 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-3725
Practice Address - Fax:215-427-4316
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1038573363LP0200X
MDR201139363LP0200X
NJ26NJ15048100363LP0200X
PASP016539363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics