Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5329 | TN |
NPI | 1003033986 |
---|---|
Provider Name | Mrs. Patricia Ann Schwartz |
First Address | Winchester, TN 37398-2947 |
Second Address | Decherd, TN 37324-3937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 08/07/2007 |