Healthcare Provider Details

I. General information

NPI: 1720738313
Provider Name (Legal Business Name): ANALYN B SCHWAEGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 03/25/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2052 GALISTEO ST
SANTA FE NM
87505-2100
US

IV. Provider business mailing address

2800 CERRILLOS RD APT 5
SANTA FE NM
87507-2314
US

V. Phone/Fax

Practice location:
  • Phone: 505-469-2514
  • Fax:
Mailing address:
  • Phone: 505-920-3676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: