Healthcare Provider Details

I. General information

NPI: 1386127074
Provider Name (Legal Business Name): CHRISTINA RENEE SCHWAGERMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 W THUNDERBIRD RD
GLENDALE AZ
85306-4002
US

IV. Provider business mailing address

10851 W WILLIAMS RD
SUN CITY AZ
85373-3375
US

V. Phone/Fax

Practice location:
  • Phone: 623-487-5189
  • Fax:
Mailing address:
  • Phone: 623-412-5279
  • Fax: 623-412-5282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN160560
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: