MEDICARE: CAROLYN LOUISE SCHWARTZ NP

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	178677	MA

General Provider Information

NPI Number	:	1508894270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN LOUISE SCHWARTZ NP

Provider Business Mailing Address
First Line	:	46 PROSPECT ST
Second Line	:
City	:	BELMONT
State	:	MA
Zip	:	02478-3315
Country	:	US
Telephone Number	:	617-484-0916
Fax Number	:

Provider Business Practice Location Address
First Line	:	949 CENTRE ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-1235
Country	:	US
Telephone Number	:	617-964-6956
Fax Number	:

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/08/2007

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