Provider Demographics
NPI:1891393567
Name:SWARTZENTRUBER, HANA LEIGH (APRN)
Entity Type:Individual
Prefix:
First Name:HANA
Middle Name:LEIGH
Last Name:SWARTZENTRUBER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10448 CAMP ROCK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-4039
Mailing Address - Country:US
Mailing Address - Phone:702-748-3915
Mailing Address - Fax:
Practice Address - Street 1:10448 CAMP ROCK CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-4039
Practice Address - Country:US
Practice Address - Phone:702-748-3915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV74441163W00000X
NV835276363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse