MEDICARE: MRS. DANITA SWINNEY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	472327	OH
2	343900000X	Non-emergency Medical Transport (VAN)		OH
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	374U00000X	Home Health Aide		OH
5	363L00000X	Nurse Practitioner	0040979	OH

General Provider Information

NPI Number	:	1104284850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANITA SWINNEY APRN

Provider Business Mailing Address
First Line	:	3735 WOODRIDGE RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-1860
Country	:	US
Telephone Number	:	216-609-5594
Fax Number	:

Provider Business Practice Location Address
First Line	:	3735 WOODRIDGE RD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44121-1860
Country	:	US
Telephone Number	:	216-609-5594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2016
Last Update Date	:	03/03/2026

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