Provider Demographics
NPI:1760441877
Name:SCHWEDER, NANCY LYNN (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:SCHWEDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CATHERINE STREET
Mailing Address - Street 2:
Mailing Address - City:MARKESAN
Mailing Address - State:WI
Mailing Address - Zip Code:53946
Mailing Address - Country:US
Mailing Address - Phone:920-858-0186
Mailing Address - Fax:
Practice Address - Street 1:31 CATHERINE STREET
Practice Address - Street 2:
Practice Address - City:MARKESAN
Practice Address - State:WI
Practice Address - Zip Code:53946
Practice Address - Country:US
Practice Address - Phone:920-858-0186
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40002400Medicaid