Healthcare Provider Details

I. General information

NPI: 1659163566
Provider Name (Legal Business Name): JOHN P SCHWARZ FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 W ANTELOPE DR STE B20
LAYTON UT
84041-1193
US

IV. Provider business mailing address

1649 W ANTELOPE DR STE B20
LAYTON UT
84041-1193
US

V. Phone/Fax

Practice location:
  • Phone: 385-501-0055
  • Fax: 801-692-6655
Mailing address:
  • Phone: 385-501-0055
  • Fax: 801-692-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13477900-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13477900-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: