Provider Demographics
NPI:1487006987
Name:SCHWEIGER, MAKULAH EDITH
Entity Type:Individual
Prefix:
First Name:MAKULAH
Middle Name:EDITH
Last Name:SCHWEIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16605 CHESTNUT GLEN PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-6121
Mailing Address - Country:US
Mailing Address - Phone:502-709-0430
Mailing Address - Fax:502-245-6651
Practice Address - Street 1:16605 CHESTNUT GLEN PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-6121
Practice Address - Country:US
Practice Address - Phone:502-709-0430
Practice Address - Fax:502-245-6651
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017960363L00000X
IN71013323A363L00000X
KY3010352363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner