Healthcare Provider Details

I. General information

NPI: 1174707806
Provider Name (Legal Business Name): HEATHER ANNE SWALLOW N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 E WINDING CREEK DR STE 102
EAGLE ID
83616-7236
US

IV. Provider business mailing address

2 LOWER RAGSDALE DR STE 270
MONTEREY CA
93940-7869
US

V. Phone/Fax

Practice location:
  • Phone: 208-957-6337
  • Fax:
Mailing address:
  • Phone: 831-648-1870
  • Fax: 831-648-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-262
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNMD-0081
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: