Provider Demographics
NPI:1063471266
Name:SCHWAGER, JUDITH MAY (RN BSN)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MAY
Last Name:SCHWAGER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N8047 SPRINGER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE MILLS
Mailing Address - State:WI
Mailing Address - Zip Code:53551-9635
Mailing Address - Country:US
Mailing Address - Phone:608-574-3933
Mailing Address - Fax:
Practice Address - Street 1:N8047 SPRINGER RD
Practice Address - Street 2:
Practice Address - City:LAKE MILLS
Practice Address - State:WI
Practice Address - Zip Code:53551-9635
Practice Address - Country:US
Practice Address - Phone:608-574-3933
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39913600OtherRN RESPIRATORY CERITFIED