Provider Demographics
NPI:1154342053
Name:SCHMITTER, SUSAN FLOYD (NP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:FLOYD
Last Name:SCHMITTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6109 MARTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5711
Mailing Address - Country:US
Mailing Address - Phone:615-221-1002
Mailing Address - Fax:
Practice Address - Street 1:10 CADILLAC DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-843-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000046594363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner