Provider Demographics
NPI:1356467039
Name:SCHWARTZ, JUDITH MAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:MAY
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7400 DELLWOOD RD N
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-1456
Mailing Address - Country:US
Mailing Address - Phone:612-338-1100
Mailing Address - Fax:612-871-9580
Practice Address - Street 1:920 E 28TH ST
Practice Address - Street 2:STE. 180
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1139
Practice Address - Country:US
Practice Address - Phone:612-338-1100
Practice Address - Fax:612-871-9580
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 071110 8163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNR 071110 8OtherRN