Provider Demographics
NPI:1518031517
Name:SCHWAB, NANCY J (PHD, RN, ANP)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:J
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:PHD, RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 SUN CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-5350
Mailing Address - Country:US
Mailing Address - Phone:346-787-7766
Mailing Address - Fax:
Practice Address - Street 1:1530 SUN CITY BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-5350
Practice Address - Country:US
Practice Address - Phone:346-787-7766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP104894363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S54173Medicare UPIN
8D9038Medicare ID - Type Unspecified
TX39633502Medicare ID - Type Unspecified