Provider Demographics
NPI:1316958341
Name:SCHWEGEL, KATHERINE LEE (NP)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LEE
Last Name:SCHWEGEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 W AVENUE J STE 101
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2708
Mailing Address - Country:US
Mailing Address - Phone:661-949-5193
Mailing Address - Fax:661-947-5900
Practice Address - Street 1:43839 15TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4756
Practice Address - Country:US
Practice Address - Phone:661-945-5984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN503821363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN5038210OtherMEDICAL PPIN #
CAWNP12837AMedicare ID - Type UnspecifiedPPIN #
CARN5038210OtherMEDICAL PPIN #