Healthcare Provider Details
I. General information
NPI: 1780724013
Provider Name (Legal Business Name): DONNA HANDY SWEARINGEN C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/07/2007
Last Update Date: 09/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
372 S GREENO ROAD
FAIRHOPE AL
36532
US
IV. Provider business mailing address
372 S GREENO ROAD
FAIRHOPE AL
36532
US
V. Phone/Fax
- Phone: 251-928-2871
- Fax: 251-928-0126
- Phone: 251-928-2871
- Fax: 251-928-0126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | AL1078322 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: