Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | D6166727 | OK |
NPI | 1013193390 |
---|---|
Provider Name | Patricia Deniece Schwarz |
First Address | Kingfisher, OK 73750-3200 |
Second Address | Kingfisher, OK 73750-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2008 |
Last Update Date | 16/01/2008 |