Healthcare Provider Details
I. General information
NPI: 1821502931
Provider Name (Legal Business Name): ADAM DON SWITZER MSN, RN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/28/2017
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 N WINNSBORO ST
QUITMAN TX
75783-2144
US
IV. Provider business mailing address
112 BASSWOOD
BIG SANDY TX
75755-5758
US
V. Phone/Fax
- Phone: 903-763-6220
- Fax: 903-763-6222
- Phone: 903-423-0652
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP134637 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP134637 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: