Provider Demographics
NPI:1518189596
Name:SCHWARTZ, LAURA ANN (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:1380 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:RODEO
Mailing Address - State:CA
Mailing Address - Zip Code:94572-1354
Mailing Address - Country:US
Mailing Address - Phone:510-245-4468
Mailing Address - Fax:510-799-6486
Practice Address - Street 1:1380 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:RODEO
Practice Address - State:CA
Practice Address - Zip Code:94572-1354
Practice Address - Country:US
Practice Address - Phone:510-245-4468
Practice Address - Fax:510-799-6486
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15523363LF0000X
CA314919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15523OtherCA BOARD OF REGISTERED NURSING