Basic Information
Provider Information
NPI: 1124492301
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARTZ
FirstName: KAREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1224 E LOWELL ST
Address2:  
City: TUCSON
State: AZ
PostalCode: 857210095
CountryCode: US
TelephoneNumber: 5206212292
FaxNumber: 5206262416
Practice Location
Address1: 1224 E LOWELL ST
Address2:  
City: TUCSON
State: AZ
PostalCode: 857210095
CountryCode: US
TelephoneNumber: 5206212292
FaxNumber: 5206262416
Other Information
ProviderEnumerationDate: 11/25/2015
LastUpdateDate: 11/25/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN085591AZY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home