Healthcare Provider Details

I. General information

NPI: 1376843888
Provider Name (Legal Business Name): HEIDI LYNN SCHWAB MSN, APN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEIDI LYNN DENNIS MSN, APN, CPNP

II. Dates (important events)

Enumeration Date: 10/31/2010
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 HAYES ST
NASHVILLE TN
37203-2504
US

IV. Provider business mailing address

221 OLD TUSCULUM RD
ANTIOCH TN
37013-4013
US

V. Phone/Fax

Practice location:
  • Phone: 615-341-4911
  • Fax:
Mailing address:
  • Phone: 615-218-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number163377
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number096927
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number4541
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number16436
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: