Provider Demographics
NPI:1164526638
Name:SCHWARTZ, MARISA A (CRNP)
Entity Type:Individual
Prefix:
First Name:MARISA
Middle Name:A
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:A
Other - Last Name:BERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:610-954-3383
Mailing Address - Fax:610-954-6500
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:610-954-3571
Practice Address - Fax:610-954-6500
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN528662L363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner