MEDICARE: SHELBY NICOLE SCHWEITZ FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	225213	AZ

General Provider Information

NPI Number	:	1144885831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY NICOLE SCHWEITZ FNP-BC

Provider Business Mailing Address
First Line	:	4318 E DESERT SKY CT
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-5016
Country	:	US
Telephone Number	:	602-376-0195
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 E BELL RD STE 207
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2159
Country	:	US
Telephone Number	:	602-971-8200
Fax Number	:	602-971-8201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	05/20/2020

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