Provider Demographics
NPI:1285030957
Name:SCHWOERER, SANDRA (MSN, FNP)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:SCHWOERER
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:RYMUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:670 COUNTY RD A
Mailing Address - Street 2:
Mailing Address - City:GREEN LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54941
Mailing Address - Country:US
Mailing Address - Phone:920-294-0100
Mailing Address - Fax:920-294-0123
Practice Address - Street 1:670 COUNTY ROAD A
Practice Address - Street 2:
Practice Address - City:GREEN LAKE
Practice Address - State:WI
Practice Address - Zip Code:54941-8608
Practice Address - Country:US
Practice Address - Phone:920-294-0100
Practice Address - Fax:920-294-0123
Is Sole Proprietor?:No
Enumeration Date:2014-11-07
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6112-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily