Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ00105700 | NJ |
NPI | 1073764924 |
---|---|
Provider Name | Laura Ann Schwenker |
First Address | Egg Harbor Township, NJ 08234-8347 |
Second Address | Egg Harbor Township, NJ 08234-8347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 12/01/2021 |