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NPI Code Detail

MEDICARE: MRS. NICOLE LYNN SCHWANZ CNM

MEDICARE: MRS. NICOLE LYNN SCHWANZ CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife09000315AIN
2367A00000XAdvanced Practice Midwife71008571AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043785272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE LYNN SCHWANZ CNM
Provider Business Mailing Address
First Line : 2512 E DUPONT RD STE 105
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-0045
Country : US
Telephone Number : 260-222-7401
Fax Number : 260-209-5956
Provider Business Practice Location Address
First Line : 2512 E DUPONT RD STE 105
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-0045
Country : US
Telephone Number : 260-222-7401
Fax Number : 260-209-5956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2018
Last Update Date : 12/24/2025

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