Healthcare Provider Details

I. General information

NPI: 1235416983
Provider Name (Legal Business Name): BARBARA E SWISHER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2011
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 GALLIA BLACKFORK RD
OAK HILL OH
45656-9661
US

IV. Provider business mailing address

3675 GALLIA BLACKFORK RD
OAK HILL OH
45656-9661
US

V. Phone/Fax

Practice location:
  • Phone: 740-418-8981
  • Fax:
Mailing address:
  • Phone: 740-418-8981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.352885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: