Provider Demographics
NPI:1497436935
Name:SCHWAB, MADELINE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:MARIE
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:MARIE
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7736 KESWICK PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-5427
Mailing Address - Country:US
Mailing Address - Phone:316-300-6413
Mailing Address - Fax:
Practice Address - Street 1:7736 KESWICK PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-5427
Practice Address - Country:US
Practice Address - Phone:316-300-6413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program