Healthcare Provider Details

I. General information

NPI: 1245328277
Provider Name (Legal Business Name): MAUREEN MCGOWAN-SCHWARTZ,M.S.APRN,BC,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SEYMOUR AVE
DERBY CT
06418-1343
US

IV. Provider business mailing address

85 MERWIN AVE 3G
MILFORD CT
06460-7965
US

V. Phone/Fax

Practice location:
  • Phone: 203-305-3612
  • Fax:
Mailing address:
  • Phone: 203-878-9837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number002583
License Number StateCT

VIII. Authorized Official

Name: MS. MAUREEN MCGOWAN-SCHWARTZ
Title or Position: PRESIDENT
Credential: APRN,BC
Phone: 203-878-9837