Provider Demographics
NPI:1780836387
Name:SCHWARTZ, MICHELE CARROLL (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:CARROLL
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 KING OF PRUSSIA RD
Mailing Address - Street 2:C/O WORKWELL - PENN MEDICINE AT RADNOR
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087
Mailing Address - Country:US
Mailing Address - Phone:610-902-5635
Mailing Address - Fax:610-902-5657
Practice Address - Street 1:250 KING OF PRUSSIA RD
Practice Address - Street 2:C/O WORKWELL - PENN RADNOR
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087
Practice Address - Country:US
Practice Address - Phone:610-902-5635
Practice Address - Fax:610-902-5657
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004308C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health