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NPI Code Detail

MEDICARE: MRS. MARGARET LEN SCHWAKE FNP-C

MEDICARE: MRS. MARGARET LEN SCHWAKE FNP-C
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
1363LF0000XFamily Nurse Practitioner502180TX

General Provider Information

NPI Number : 1235189846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET LEN SCHWAKE FNP-C
Provider Business Mailing Address
First Line : 460 NORTHWEST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3136
Country : US
Telephone Number : 817-444-7099
Fax Number :
Provider Business Practice Location Address
First Line : 460 NORTHWEST PKWY
Second Line :
City : AZLE
State : TX
Zip : 76020-3136
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 01/28/2019

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