Healthcare Provider Details

I. General information

NPI: 1033892781
Provider Name (Legal Business Name): SYDNEY MOATS SCHWEIKHARD APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WALNUT ST
OWENSBORO KY
42301-2956
US

IV. Provider business mailing address

1100 WALNUT ST
OWENSBORO KY
42301-2956
US

V. Phone/Fax

Practice location:
  • Phone: 270-689-6500
  • Fax: 270-689-6677
Mailing address:
  • Phone: 270-689-6500
  • Fax: 270-689-6677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71014216A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71014216B
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4006574
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: