Healthcare Provider Details

I. General information

NPI: 1992062897
Provider Name (Legal Business Name): SARAH MICHELLE SCHWERTNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH GRANIER

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 10/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3848 VETERANS MEMORIAL BLVD STE 101
METAIRIE LA
70002
US

IV. Provider business mailing address

3848 VETERANS MEMORIAL BLVD STE 101
METAIRIE LA
70002
US

V. Phone/Fax

Practice location:
  • Phone: 504-885-2505
  • Fax: 504-885-2510
Mailing address:
  • Phone: 504-885-2505
  • Fax: 504-885-2510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number208078
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD208078
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: