Provider Demographics
NPI:1740958560
Name:SCHWARTZ, NATHANIEL ALLAN (RD, LD)
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:ALLAN
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-1861
Mailing Address - Country:US
Mailing Address - Phone:515-460-1880
Mailing Address - Fax:
Practice Address - Street 1:1136 3RD ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-1861
Practice Address - Country:US
Practice Address - Phone:515-460-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-06
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered