Provider Demographics
NPI:1902405467
Name:SCHWEIGER, WANDA LYNN (QSP)
Entity Type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:LYNN
Last Name:SCHWEIGER
Suffix:
Gender:F
Credentials:QSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3270 110V AVE SW
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-8567
Mailing Address - Country:US
Mailing Address - Phone:701-260-2078
Mailing Address - Fax:
Practice Address - Street 1:3270 110V AVE SW
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-8567
Practice Address - Country:US
Practice Address - Phone:701-260-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant