Provider Demographics
NPI:1497167738
Name:SCHWARTZ, ANNE M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:6400 GRAFTON RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:OH
Mailing Address - Zip Code:44280-9762
Mailing Address - Country:US
Mailing Address - Phone:330-242-1606
Mailing Address - Fax:330-483-4806
Practice Address - Street 1:6400 GRAFTON RD
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:OH
Practice Address - Zip Code:44280-9762
Practice Address - Country:US
Practice Address - Phone:330-242-1606
Practice Address - Fax:330-483-4806
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN131598MIV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse