Provider Demographics
NPI:1720738313
Name:SCHWAEGEL, ANALYN B
Entity Type:Individual
Prefix:
First Name:ANALYN
Middle Name:B
Last Name:SCHWAEGEL
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 1:2800 CERRILLOS RD APT 5
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-2314
Mailing Address - Country:US
Mailing Address - Phone:505-920-3676
Mailing Address - Fax:
Practice Address - Street 1:2052 GALISTEO ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2100
Practice Address - Country:US
Practice Address - Phone:505-469-2514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist