Basic Information
| Provider Information | |||||||||
| NPI: | 1730487695 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHWAB | ||||||||
| FirstName: | BETTY | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NURSE PRACTITIONER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7493 US HIGHWAY 278 E | ||||||||
| Address2: | |||||||||
| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350557975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567964299 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1201 7TH ST SE | ||||||||
| Address2: | DECATUR GENERAL HOSPITAL | ||||||||
| City: | DECATUR | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2563412000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2011 | ||||||||
| LastUpdateDate: | 09/30/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 1-109629 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | 1-109629 | AL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.