Provider Demographics
NPI:1659098671
Name:SCHWAB, MADELINE BELLE
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:BELLE
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:BELLE
Other - Last Name:HEMPHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1501 GRAFTON CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-4857
Mailing Address - Country:US
Mailing Address - Phone:757-359-0239
Mailing Address - Fax:
Practice Address - Street 1:1501 GRAFTON CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-4857
Practice Address - Country:US
Practice Address - Phone:757-359-0239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant