Provider Demographics
NPI:1083820336
Name:SWARTZENTRUBER, MAUREEN 0 (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:0
Last Name:SWARTZENTRUBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 E WHITEHOUSE CANYON RD
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-0522
Mailing Address - Country:US
Mailing Address - Phone:520-625-4581
Mailing Address - Fax:
Practice Address - Street 1:1991 E WHITEHOUSE CANYON RD
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-0522
Practice Address - Country:US
Practice Address - Phone:520-625-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN133361163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse