Healthcare Provider Details

I. General information

NPI: 1013847417
Provider Name (Legal Business Name): KATHERYNN BONITA SWAYZER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERYNN BONITA BARLOW

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 E SHENNUM DR
WASILLA AK
99654-7718
US

IV. Provider business mailing address

5000 E SHENNUM DR
WASILLA AK
99654-7718
US

V. Phone/Fax

Practice location:
  • Phone: 970-373-3420
  • Fax: 907-376-7847
Mailing address:
  • Phone: 907-373-3420
  • Fax: 907-376-7847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number255633
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: