Doctor Name: | JEAN CANTY SCHWARTZ |
NPI Number: | 1043271745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNCPNP |
License Number: | 123070 |
Business Practice Address: | 15 Bramblebush Park Falmouth, MA - 025402325 |
Business Phone Number: | 5085486969 |
Business Fax Number: | 5085402793 |
Mailing Address: | 19 Punch Bowl Dr, FALMOUTH |
State: | MA |
Postal Code: | 025402342 |
Phone Number: | 5085489966 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 123070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |