Healthcare Provider Details
I. General information
NPI: 1164241220
Provider Name (Legal Business Name): KAITLYN VALAN SCHWEICH PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/07/2024
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21655 BIDEN AVE
GEORGETOWN DE
19947-4573
US
IV. Provider business mailing address
737 MAGNOLIA DR
SEAFORD DE
19973-1305
US
V. Phone/Fax
- Phone: 302-207-9176
- Fax: 302-604-5593
- Phone: 717-824-2178
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | R269227 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | L8-0011031 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: