Provider Demographics
NPI:1962469700
Name:SCHWINGE, LAILA E (FNP)
Entity Type:Individual
Prefix:
First Name:LAILA
Middle Name:E
Last Name:SCHWINGE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAILA
Other - Middle Name:E
Other - Last Name:COLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6000 N BAILEY AVE
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-5102
Mailing Address - Country:US
Mailing Address - Phone:716-834-4266
Mailing Address - Fax:716-834-6255
Practice Address - Street 1:6000 N BAILEY AVE
Practice Address - Street 2:SUITE 1D
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-5102
Practice Address - Country:US
Practice Address - Phone:716-834-4266
Practice Address - Fax:716-834-6255
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3313511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY196082BJOtherPREFERRED CARE
NY000560335005OtherBCBS WNY
NY02796918Medicaid
NYP00243203OtherMEDICARE RAILROAD
NY9513167OtherIHA
NY000560335004OtherBCBS WNY
NY10767181OtherCAQH
NY040511000509OtherFIDELIS CARE
NY02796918Medicaid
NY10767181OtherCAQH