Provider Demographics
NPI:1538141213
Name:SCHWARTZ, LOIS ANN (NP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:ANN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15804 N 104TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1972
Mailing Address - Country:US
Mailing Address - Phone:602-751-9862
Mailing Address - Fax:480-237-6043
Practice Address - Street 1:15804 N 104TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-1972
Practice Address - Country:US
Practice Address - Phone:602-751-9862
Practice Address - Fax:480-237-6043
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZNP263363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP63633Medicare UPIN