Healthcare Provider Details

I. General information

NPI: 1235817941
Provider Name (Legal Business Name): KAYLA MARIE SCHWIBINGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 WASHINGTON ST
SHEBOYGAN FALLS WI
53085-1262
US

IV. Provider business mailing address

523 WASHINGTON ST
SHEBOYGAN FALLS WI
53085-1262
US

V. Phone/Fax

Practice location:
  • Phone: 920-207-8832
  • Fax:
Mailing address:
  • Phone: 920-207-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18118-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1105332-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: