Provider Demographics
NPI:1730201245
Name:SCHWARZ, WILLIAM ANDREW II (MSN, APRN, APN-BC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:SCHWARZ
Suffix:II
Gender:M
Credentials:MSN, APRN, APN-BC
Other - Prefix:
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Mailing Address - Street 1:2880 S MAIN ST STE 108
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-6000
Mailing Address - Country:US
Mailing Address - Phone:406-359-1760
Mailing Address - Fax:801-701-7101
Practice Address - Street 1:230 N 1680 E STE L1
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2592
Practice Address - Country:US
Practice Address - Phone:435-628-2500
Practice Address - Fax:435-628-2575
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT350245-8900363LA2200X
UT350245-4405363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTHT001513-049Medicaid