Provider Demographics
NPI:1144826363
Name:SCHUERMANN, ANNA KIERNAN
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:KIERNAN
Last Name:SCHUERMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 CIRCLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3213
Mailing Address - Country:US
Mailing Address - Phone:919-389-3247
Mailing Address - Fax:
Practice Address - Street 1:8309 CIRCLEWOOD CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3213
Practice Address - Country:US
Practice Address - Phone:919-389-3247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013866363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily