Provider Demographics
NPI:1376843888
Name:SCHWAB, HEIDI LYNN (MSN, APN, CPNP)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:LYNN
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:MSN, APN, CPNP
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LYNN
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APN, CPNP
Mailing Address - Street 1:221 OLD TUSCULUM RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4013
Mailing Address - Country:US
Mailing Address - Phone:615-218-5433
Mailing Address - Fax:
Practice Address - Street 1:1804 HAYES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2504
Practice Address - Country:US
Practice Address - Phone:615-341-4911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-31
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN163377163W00000X
CT096927163W00000X
CT4541363LP0200X
TN16436363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
12181413OtherCAQH