Provider Demographics
NPI:1174889505
Name:GUSCHWAN, NORA CLAIRE (DO)
Entity type:Individual
Prefix:DR
First Name:NORA
Middle Name:CLAIRE
Last Name:GUSCHWAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 TOWN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-7018
Mailing Address - Country:US
Mailing Address - Phone:414-687-7728
Mailing Address - Fax:
Practice Address - Street 1:128 TOWN VIEW DR
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-7018
Practice Address - Country:US
Practice Address - Phone:414-687-7728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61543-21207Q00000X
NY300627-01207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine