Provider Demographics
NPI:1902669997
Name:SCHWERTFEGER, LYDIA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:SCHWERTFEGER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 E 13TH ST N APT 504
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2035
Mailing Address - Country:US
Mailing Address - Phone:316-650-5723
Mailing Address - Fax:
Practice Address - Street 1:800 N CARRIAGE PKWY
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4508
Practice Address - Country:US
Practice Address - Phone:316-858-5800
Practice Address - Fax:316-858-5850
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS162223363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily