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NPI Code Detail

MEDICARE: LAURA ANN SCHWARTZ APRN, FNP-BC

MEDICARE: LAURA ANN SCHWARTZ APRN, 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
1363LF0000XFamily Nurse Practitioner15523CA
2363LF0000XFamily Nurse Practitioner314919CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115523OTHERCACA BOARD OF REGISTERED NURSING

General Provider Information

NPI Number : 1518189596
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANN SCHWARTZ APRN, FNP-BC
Provider Business Mailing Address
First Line : 1380 SAN PABLO AVE
Second Line :
City : RODEO
State : CA
Zip : 94572-1354
Country : US
Telephone Number : 510-245-4468
Fax Number : 510-799-6486
Provider Business Practice Location Address
First Line : 1380 SAN PABLO AVE
Second Line :
City : RODEO
State : CA
Zip : 94572-1354
Country : US
Telephone Number : 510-245-4468
Fax Number : 510-799-6486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 12/04/2018

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