Provider Demographics
NPI:1205057999
Name:BEUOY-SCHWARTZMAN, PATRICIA ANN (CNM)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:BEUOY-SCHWARTZMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:BEUOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:2532 CHAUNCY PLACE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506
Mailing Address - Country:US
Mailing Address - Phone:310-213-1198
Mailing Address - Fax:
Practice Address - Street 1:10800 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505
Practice Address - Country:US
Practice Address - Phone:951-353-4296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANM1233367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife