Provider Demographics
NPI:1700869542
Name:SCHWEIGER SALAZAR, SUSAN L (CNM, ARNP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:L
Last Name:SCHWEIGER SALAZAR
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:807 N MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755
Practice Address - Country:US
Practice Address - Phone:727-467-2400
Practice Address - Fax:727-467-2477
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN16306367A00000X
FLARNP1955352367A00000X
FL1955352367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021255600Medicaid