Provider Demographics
NPI:1417319682
Name:SCHWARTZ, RACHEL NAOMI (PNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:NAOMI
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15849
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2549
Mailing Address - Country:US
Mailing Address - Phone:912-303-3500
Mailing Address - Fax:912-303-3506
Practice Address - Street 1:310 EISENHOWER DR STE 16
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2632
Practice Address - Country:US
Practice Address - Phone:912-303-3500
Practice Address - Fax:912-303-3506
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20160332363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics