Provider Demographics
NPI:1134218530
Name:SCHWARTZ, ELIZABETH ELANA (CNM)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ELANA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ELANA
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:700 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3408
Mailing Address - Country:US
Mailing Address - Phone:603-742-2424
Mailing Address - Fax:603-742-1763
Practice Address - Street 1:700 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3408
Practice Address - Country:US
Practice Address - Phone:603-742-2424
Practice Address - Fax:603-742-1763
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH055772-23-01367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q14764Medicare UPIN