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NPI Code Detail

MEDICARE: MRS. SANDRA SCHWOERER MSN, FNP

MEDICARE:  MRS. SANDRA  SCHWOERER  MSN, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner6112-33WI

General Provider Information

NPI Number : 1285030957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA SCHWOERER MSN, FNP
Provider Business Mailing Address
First Line : 670 COUNTY RD A
Second Line :
City : GREEN LAKE
State : WI
Zip : 54941
Country : US
Telephone Number : 920-294-0100
Fax Number : 920-294-0123
Provider Business Practice Location Address
First Line : 670 COUNTY ROAD A
Second Line :
City : GREEN LAKE
State : WI
Zip : 54941-8608
Country : US
Telephone Number : 920-294-0100
Fax Number : 920-294-0123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2014
Last Update Date : 08/23/2017

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Directions to “ MRS. SANDRA SCHWOERER MSN, FNP” Practice Location

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