Healthcare Provider Details

I. General information

NPI: 1730414400
Provider Name (Legal Business Name): STACY SWAIN CD, CCE, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 KENSINGTON RD
HAMPTON FALLS NH
03844-2200
US

IV. Provider business mailing address

PO BOX 541
HAMPTON FALLS NH
03844-0541
US

V. Phone/Fax

Practice location:
  • Phone: 603-501-9837
  • Fax: 603-929-4277
Mailing address:
  • Phone: 603-501-9837
  • Fax: 603-929-4277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: