Doctor Name: | LAURA ANN SCHWENKER |
NPI Number: | 1073764924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00105700 |
Business Practice Address: | 301 Central Ave Suite D Egg Harbor Township, NJ - 082348340 |
Business Phone Number: | 6099265000 |
Business Fax Number: | 6099262020 |
Mailing Address: | 301 Central Ave, Suite D EGG HARBOR TOWNSHIP |
State: | NJ |
Postal Code: | 082348340 |
Phone Number: | 6099265000 |
Fax Number: | 6099262020 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC0200X |
License Number: | 26NJ00105700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |