Healthcare Provider Details

I. General information

NPI: 1881675353
Provider Name (Legal Business Name): PATRICIA ANN SCHWABENBAUER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: PATRICIA ANN REARDON

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 W 26TH ST
ERIE PA
16508-1402
US

IV. Provider business mailing address

1330 W 26TH ST
ERIE PA
16508-1402
US

V. Phone/Fax

Practice location:
  • Phone: 814-459-9300
  • Fax: 814-459-0915
Mailing address:
  • Phone: 814-459-9300
  • Fax: 814-459-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN166923L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP003860B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: