Provider Demographics
NPI:1063722486
Name:SCHWAB, KIRSTEN BROOKE GRIFFIN (PA-C)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:BROOKE GRIFFIN
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5974 PENTZ ROAD
Mailing Address - Street 2:FEATHER RIVER HOSPITAL EMERGENCY DEPARTMENT
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969
Mailing Address - Country:US
Mailing Address - Phone:530-877-9361
Mailing Address - Fax:
Practice Address - Street 1:95 DECLARATION DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4916
Practice Address - Country:US
Practice Address - Phone:530-894-6832
Practice Address - Fax:530-342-4199
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 22753363A00000X
GA005946363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant