Provider Demographics
NPI:1245753730
Name:GANTZ, ANNETTE JO (FNP)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:JO
Last Name:GANTZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:JO
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:225 E SONTERRA BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3886
Mailing Address - Country:US
Mailing Address - Phone:210-448-1499
Mailing Address - Fax:210-448-1294
Practice Address - Street 1:225 E SONTERRA BLVD STE 220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3886
Practice Address - Country:US
Practice Address - Phone:210-448-1499
Practice Address - Fax:210-448-1294
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134256363L00000X, 363LF0000X
OHCNP.020968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner