Provider Demographics
NPI:1457706541
Name:SCHWAB, NATALIE (APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 E ISLE OF PALMS AVE
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-8511
Mailing Address - Country:US
Mailing Address - Phone:814-227-8089
Mailing Address - Fax:
Practice Address - Street 1:1301 CREEL STREET
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29527-5018
Practice Address - Country:US
Practice Address - Phone:843-248-4414
Practice Address - Fax:843-248-3781
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24733363L00000X, 363LF0000X
WI6941-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP7944Medicaid