Provider Demographics
NPI:1245008994
Name:SCHWARTZ, VANESSA CARMEN
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:CARMEN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 TURTLE CREEK RD APT 418
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-2573
Mailing Address - Country:US
Mailing Address - Phone:308-660-6360
Mailing Address - Fax:
Practice Address - Street 1:1230 TURTLE CREEK RD APT 418
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-2573
Practice Address - Country:US
Practice Address - Phone:308-660-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider