Provider Demographics
NPI:1467535914
Name:SCHWARTZ, ANITA ROWAN (CRNP)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:ROWAN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 CONESTOGA RD
Mailing Address - Street 2:BUILDING 2 SUITE 207
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1352
Mailing Address - Country:US
Mailing Address - Phone:610-525-3677
Mailing Address - Fax:610-525-3677
Practice Address - Street 1:919 CONESTOGA RD
Practice Address - Street 2:BUILDING 2 SUITE 207
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:610-525-3677
Practice Address - Fax:610-525-3677
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004485C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA015967Medicare ID - Type Unspecified
PAS62446Medicare UPIN