Provider Demographics
NPI:1427193911
Name:SCHWIMER, PATRICIA ANNE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANNE
Last Name:SCHWIMER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 LIGHTNER AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5507
Mailing Address - Country:US
Mailing Address - Phone:718-761-4763
Mailing Address - Fax:718-439-4006
Practice Address - Street 1:330 59TH ST
Practice Address - Street 2:RM 123
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3718
Practice Address - Country:US
Practice Address - Phone:718-492-1467
Practice Address - Fax:718-439-4006
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380215363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF380215OtherNY NP LICENSE