Provider Demographics
NPI:1144885831
Name:SCHWEITZ, SHELBY NICOLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:NICOLE
Last Name:SCHWEITZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:NICOLE
Other - Last Name:ALFRED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:4318 E DESERT SKY CT
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5016
Mailing Address - Country:US
Mailing Address - Phone:602-376-0195
Mailing Address - Fax:
Practice Address - Street 1:3811 E BELL RD STE 207
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2159
Practice Address - Country:US
Practice Address - Phone:602-971-8200
Practice Address - Fax:602-971-8201
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225213363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily