MEDICARE: MR. DAVID WILLIAM SCHWYTZER C.R.N.A.

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
1	367500000X	Certified Registered Nurse Anesthetist	1059748	KY

General Provider Information

NPI Number	:	1598753188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID WILLIAM SCHWYTZER C.R.N.A.

Provider Business Mailing Address
First Line	:	7004 NEW BERN CT
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9668
Country	:	US
Telephone Number	:	502-292-2865
Fax Number	:

Provider Business Practice Location Address
First Line	:	7004 NEW BERN CT
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9668
Country	:	US
Telephone Number	:	502-292-2865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2005
Last Update Date	:	10/21/2014

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