Healthcare Provider Details

I. General information

NPI: 1427248186
Provider Name (Legal Business Name): KRISTINE B SCHWARTZKOPF NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3458 NEELY RD
MC GUIRE AFB NJ
08641-5312
US

IV. Provider business mailing address

3458 NEELY RD
MC GUIRE AFB NJ
08641-5312
US

V. Phone/Fax

Practice location:
  • Phone: 609-754-9155
  • Fax:
Mailing address:
  • Phone: 609-754-9155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0607199
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: