Provider Demographics
NPI:1265841845
Name:SCHWERING, MARY EUGENE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:EUGENE
Last Name:SCHWERING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 25TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-8722
Mailing Address - Country:US
Mailing Address - Phone:575-446-5303
Mailing Address - Fax:575-446-5309
Practice Address - Street 1:2351 25TH ST UNIT B
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-8722
Practice Address - Country:US
Practice Address - Phone:575-446-5303
Practice Address - Fax:575-446-5309
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-67544363LP0808X
IAG124200363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1265841845Medicaid