Provider Demographics
NPI:1659547313
Name:SCHWARTZ, SHERRIE-LYNN (NP)
Entity Type:Individual
Prefix:
First Name:SHERRIE-LYNN
Middle Name:
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 1:26 CARILLON PL
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2613
Mailing Address - Country:US
Mailing Address - Phone:949-292-6889
Mailing Address - Fax:
Practice Address - Street 1:1530 CONCORDIA
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-3203
Practice Address - Country:US
Practice Address - Phone:949-214-3108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABJ071ZMedicare UPIN
CABJ110ZMedicare UPIN
CABJ110YMedicare UPIN