Provider Demographics
NPI:1073656120
Name:SCHWARTZ, ANNA L (PHD, FNP)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:L
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 E RIVER RD STE 350
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5999
Mailing Address - Country:US
Mailing Address - Phone:520-519-7775
Mailing Address - Fax:520-519-7910
Practice Address - Street 1:1329 N BEAVER ST STE 1
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3127
Practice Address - Country:US
Practice Address - Phone:928-773-2260
Practice Address - Fax:928-773-2402
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY392363LF0000X
WY27354.1007363LF0000X
AZ392363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY27354.1007OtherWYOMING LICENSE
AZ744434Medicare ID - Type Unspecified
WY27354.1007OtherWYOMING LICENSE