Basic Information
Provider Information
NPI: 1043609183
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWEDER
FirstName: HEIDI
MiddleName: RHODES
NamePrefix:  
NameSuffix:  
Credential: APRN-NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E LIBERTY ST
Address2: SUITE 800
City: LOUISVILLE
State: KY
PostalCode: 402021434
CountryCode: US
TelephoneNumber: 6063307818
FaxNumber: 6063307825
Practice Location
Address1: 103 ALYCIA DR
Address2: SUITE 2
City: RICHMOND
State: KY
PostalCode: 404752368
CountryCode: US
TelephoneNumber: 8596260554
FaxNumber: 8596269755
Other Information
ProviderEnumerationDate: 01/13/2015
LastUpdateDate: 05/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X3009015KYY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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