Provider Demographics
NPI:1669266508
Name:SCHWAB, GWENDOLYN
Entity type:Individual
Prefix:MRS
First Name:GWENDOLYN
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 WARD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-4116
Mailing Address - Country:US
Mailing Address - Phone:402-587-0748
Mailing Address - Fax:
Practice Address - Street 1:815 O ST STE 1B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1389
Practice Address - Country:US
Practice Address - Phone:402-480-6064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant