Healthcare Provider Details

I. General information

NPI: 1811443732
Provider Name (Legal Business Name): YVETA SWEARINGEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1088 WASSERMAN WAY SUITE C
BATAVIA OH
45103-1974
US

IV. Provider business mailing address

10144 US 68
GEORGETOWN OH
45121-8887
US

V. Phone/Fax

Practice location:
  • Phone: 513-735-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN374093
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: