Healthcare Provider Details

I. General information

NPI: 1730514142
Provider Name (Legal Business Name): ANITA KAY SWARTZWELDER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 09/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1448 10TH AVE
HUNTINGTON WV
25701-3581
US

IV. Provider business mailing address

1601 COUNTY ROAD 57
SOUTH POINT OH
45680-7782
US

V. Phone/Fax

Practice location:
  • Phone: 304-529-0753
  • Fax:
Mailing address:
  • Phone: 740-894-6693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN26700FNP-BC
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.07667-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: