Healthcare Provider Details

I. General information

NPI: 1457706541
Provider Name (Legal Business Name): NATALIE SCHWAB APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CREEL STREET
CONWAY SC
29527-5018
US

IV. Provider business mailing address

1155 E ISLE OF PALMS AVE
MYRTLE BEACH SC
29579-8511
US

V. Phone/Fax

Practice location:
  • Phone: 843-248-4414
  • Fax: 843-248-3781
Mailing address:
  • Phone: 814-227-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24733
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: