Provider Demographics
NPI:1720796717
Name:SCHWARTZBURG, DEVIN LEIGH
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:LEIGH
Last Name:SCHWARTZBURG
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 1:3828 SW WINDSONG DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4050
Mailing Address - Country:US
Mailing Address - Phone:361-442-8935
Mailing Address - Fax:
Practice Address - Street 1:16400 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1389
Practice Address - Country:US
Practice Address - Phone:913-825-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-81429-071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily