Individual
BRENDA D SCHWASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 W HAY ST STE 212, DECATUR, IL 62526-6376
(217) 876-4390
(217) 876-4395
Mailing address
2300 N EDWARD ST, MEDICAL STAFF OFFICE, DECATUR, IL 62526
(217) 876-2857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-015681
IL
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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