Individual
NICOL LYNN SCHWANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6201 CENTREVILLE RD STE 200, CENTREVILLE, VA 20121-2626
(571) 549-8577
(571) 549-8578
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003745
VA
363AM0700X
Medical Physician Assistant
Primary
0110003745
VA
Other
Enumeration date
10/03/2010
Last updated
05/07/2026
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