Healthcare Provider Details

I. General information

NPI: 1609785336
Provider Name (Legal Business Name): NATALIE SCHWORER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11867 ALAMO ST NE
BLAINE MN
55449-5745
US

IV. Provider business mailing address

11867 ALAMO ST NE
BLAINE MN
55449-5745
US

V. Phone/Fax

Practice location:
  • Phone: 763-438-4148
  • Fax:
Mailing address:
  • Phone: 763-438-4148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number2120807
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: