Provider Demographics
NPI:1750808861
Name:SCHWANDER, ANASTASIA SUE (FNP)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:SUE
Last Name:SCHWANDER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 PLAZA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2399
Mailing Address - Country:US
Mailing Address - Phone:303-996-2800
Mailing Address - Fax:303-470-9595
Practice Address - Street 1:640 PLAZA DR STE 105
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2399
Practice Address - Country:US
Practice Address - Phone:303-996-2800
Practice Address - Fax:303-470-9595
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0993191363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty