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NPI Code Detail

MEDICARE: ELIZABETH JOY SWOPE C.N.P.

MEDICARE:   ELIZABETH JOY SWOPE  C.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse424172OH
2363L00000XNurse PractitionerAPRN.CNP.0031533OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245978873
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JOY SWOPE C.N.P.
Provider Business Mailing Address
First Line : 112 SEIBERLING DR
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-3239
Country : US
Telephone Number : 954-864-0072
Fax Number :
Provider Business Practice Location Address
First Line : 8655 MARKET ST STE 140
Second Line :
City : MENTOR
State : OH
Zip : 44060-4112
Country : US
Telephone Number : 440-255-6400
Fax Number : 440-255-3637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 06/14/2023

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