Healthcare Provider Details

I. General information

NPI: 1215556311
Provider Name (Legal Business Name): BALEIGH MORGAN SWANEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 PLAZA DR
PELL CITY AL
35125-9370
US

IV. Provider business mailing address

PO BOX 55310
BIRMINGHAM AL
35255-5310
US

V. Phone/Fax

Practice location:
  • Phone: 205-814-7272
  • Fax: 205-812-2018
Mailing address:
  • Phone: 205-731-9701
  • Fax: 205-812-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-163592
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-163593
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: