Individual
KIMBERLY A SCHWERDTFEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6233 BANKERS RD, SUITE 3, MOUNT PLEASANT, WI 53403-9700
(262) 898-4400
(262) 898-4423
Mailing address
PO BOX 81548, RACINE, WI 53408-1548
(262) 898-4400
(262) 898-4423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4627
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4627
LICENSE
WI
Enumeration date
10/17/2011
Last updated
10/02/2012
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