Provider Demographics
NPI:1104437201
Name:SCHWARZ, TAYLOR HASTINGS (APRN, FNP-BC, AGACNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:HASTINGS
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:APRN, FNP-BC, AGACNP
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:RAE
Other - Last Name:HASTINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC, AGACNP
Mailing Address - Street 1:2428 JENKS AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4304
Mailing Address - Country:US
Mailing Address - Phone:850-215-6008
Mailing Address - Fax:850-215-6020
Practice Address - Street 1:2428 JENKS AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4304
Practice Address - Country:US
Practice Address - Phone:850-215-6013
Practice Address - Fax:850-215-6020
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008258363LF0000X, 363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care