Provider Demographics
NPI:1770554073
Name:SCHWAB, JANET D (CNM)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:D
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20358 247TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-5225
Mailing Address - Country:US
Mailing Address - Phone:612-220-0975
Mailing Address - Fax:
Practice Address - Street 1:451 E SAINT GERMAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-4649
Practice Address - Country:US
Practice Address - Phone:320-252-9504
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR138813-2367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
07-02606OtherMEDICA
MN896222700Medicaid
HP24917OtherHEALTH PARTNERS
1014706OtherPREFERRED ONE
MN29B45SCOtherBCBS MN
812604OtherAMERICA'S PPO (ARAZ)
122066OtherUCARE