Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP01202 | LA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN047541 | LA |
NPI | 1336319961 |
---|---|
Provider Name | Melissa M. Schwab |
First Address | Kenner, LA 70065-2467 |
Second Address | Kenner, LA 70065-2467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 19/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01027036 | (05) | MS |
1176249 | (05) | LA |