Healthcare Provider Details

I. General information

NPI: 1043039225
Provider Name (Legal Business Name): MALKA SCHWARTZ CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 S GREEN RD
SOUTH EUCLID OH
44121-4213
US

IV. Provider business mailing address

2054 S GREEN RD
SOUTH EUCLID OH
44121-4213
US

V. Phone/Fax

Practice location:
  • Phone: 216-291-9210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.0037044
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: