Provider Demographics
NPI:1902898786
Name:UETZ, ANN M (RN, MSN, FNPC, CPNP)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:UETZ
Suffix:
Gender:F
Credentials:RN, MSN, FNPC, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 JANIS WAY
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2776
Mailing Address - Country:US
Mailing Address - Phone:760-390-0393
Mailing Address - Fax:
Practice Address - Street 1:2225 JANIS WAY
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2776
Practice Address - Country:US
Practice Address - Phone:760-390-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN055983363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily