Healthcare Provider Details

I. General information

NPI: 1568358893
Provider Name (Legal Business Name): SWAN HEALTH AND BEAUTY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 W GROVE ST STE 1
MIDDLEBORO MA
02346-1862
US

IV. Provider business mailing address

119 STOWE RD
SANDWICH MA
02563-2502
US

V. Phone/Fax

Practice location:
  • Phone: 508-371-2531
  • Fax: 508-371-2532
Mailing address:
  • Phone: 508-371-2531
  • Fax: 508-371-2532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHERI LYNNE CERRATO
Title or Position: FAMILY NURSE PRACTITIONER
Credential: CNP
Phone: 617-538-1437