Healthcare Provider Details

I. General information

NPI: 1316251861
Provider Name (Legal Business Name): NICOLE M SCHWARTZ MSN, CRNP, MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 06/01/2024
Certification Date: 06/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1166 HILTS RD
WRIGHTSVILLE PA
17368-9205
US

IV. Provider business mailing address

87 S GRANT ST
MANHEIM PA
17545-1805
US

V. Phone/Fax

Practice location:
  • Phone: 888-526-6728
  • Fax: 305-891-4228
Mailing address:
  • Phone: 267-205-5612
  • Fax: 717-927-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW135173
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028829
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: