Provider Demographics
NPI:1396469052
Name:SCHWEDER, BRANDON RODES (MSN, NP, FNP-C)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:RODES
Last Name:SCHWEDER
Suffix:
Gender:M
Credentials:MSN, NP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 W 2ND ST UNIT 355
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3898
Mailing Address - Country:US
Mailing Address - Phone:859-967-9698
Mailing Address - Fax:
Practice Address - Street 1:3288 ROBINHOOD RD STE 202
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5464
Practice Address - Country:US
Practice Address - Phone:336-575-1925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000257359163W00000X
NC5016958363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse