MEDICARE: MRS. ANNE M SCHWARTZ LPN

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	164W00000X	Licensed Practical Nurse	PN131598MIV	OH

General Provider Information

NPI Number	:	1497167738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE M SCHWARTZ LPN

Provider Business Mailing Address
First Line	:	6400 GRAFTON RD
Second Line	:
City	:	VALLEY CITY
State	:	OH
Zip	:	44280-9762
Country	:	US
Telephone Number	:	330-242-1606
Fax Number	:	330-483-4806

Provider Business Practice Location Address
First Line	:	6400 GRAFTON RD
Second Line	:
City	:	VALLEY CITY
State	:	OH
Zip	:	44280-9762
Country	:	US
Telephone Number	:	330-242-1606
Fax Number	:	330-483-4806

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

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	05/21/2014

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