Provider Demographics
NPI:1710046222
Name:SCHWATRZ, LESLIE (RN)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:SCHWATRZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:678 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1922
Mailing Address - Country:US
Mailing Address - Phone:650-421-2878
Mailing Address - Fax:650-421-2569
Practice Address - Street 1:678 MAIN ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1922
Practice Address - Country:US
Practice Address - Phone:650-421-2878
Practice Address - Fax:650-421-2569
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB232322163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB232322OtherRN LICENSE