Provider Demographics
NPI:1558688978
Name:SCHWARTZBARD, GABRIELLE FAITH (NP-BC)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:FAITH
Last Name:SCHWARTZBARD
Suffix:
Gender:F
Credentials:NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-5056
Mailing Address - Country:US
Mailing Address - Phone:908-331-0621
Mailing Address - Fax:
Practice Address - Street 1:9 CLIFF DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-5056
Practice Address - Country:US
Practice Address - Phone:908-331-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-24
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00287500363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care