Healthcare Provider Details

I. General information

NPI: 1578476495
Provider Name (Legal Business Name): C'NIAH SWAIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 TIMBER DR E STE 110
GARNER NC
27529-7883
US

IV. Provider business mailing address

3913 SWINTON ST
RALEIGH NC
27616-8471
US

V. Phone/Fax

Practice location:
  • Phone: 919-910-0858
  • Fax: 919-287-2551
Mailing address:
  • Phone: 919-910-0858
  • Fax: 919-287-2551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number372754
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: