Provider Demographics
NPI:1598968984
Name:SCHWARTZ, DONNA RUTH (APRN MSN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:RUTH
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:APRN MSN
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:RUTH
Other - Last Name:TREGRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN MSN
Mailing Address - Street 1:119 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-7639
Mailing Address - Country:US
Mailing Address - Phone:502-352-6698
Mailing Address - Fax:
Practice Address - Street 1:360 WEST LOUDON AVE.
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508
Practice Address - Country:US
Practice Address - Phone:859-252-7881
Practice Address - Fax:859-255-0749
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5048P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100045870Medicaid
KY0912252Medicare PIN