MEDICARE: TAYLOR M SCHWANZER-EISELE NP-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
1	363L00000X	Nurse Practitioner	26NJ00967600	NJ

General Provider Information

NPI Number	:	1679119044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR M SCHWANZER-EISELE NP-C

Provider Business Mailing Address
First Line	:	2500 ENGLISH CREEK AVE STE 400
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5596
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE STE 400
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5596
Country	:	US
Telephone Number	:	609-677-7777
Fax Number	:

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

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	05/01/2025

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