Provider Demographics
NPI:1306981949
Name:SCHWADERER, AMY JO (MS ATC, MPAS PA-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:SCHWADERER
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Gender:F
Credentials:MS ATC, MPAS PA-C
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Mailing Address - Street 1:6900 A ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4120
Mailing Address - Country:US
Mailing Address - Phone:402-436-2000
Mailing Address - Fax:402-434-2691
Practice Address - Street 1:6900 A ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4120
Practice Address - Country:US
Practice Address - Phone:402-436-2000
Practice Address - Fax:402-434-2691
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2012-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE2732255A2300X
IN10001189A363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer