MEDICARE: SHANNON SZWEB

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
1	374U00000X	Home Health Aide
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1396592234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON SZWEB

Provider Business Mailing Address
First Line	:	2135 EVERGREEN RD
Second Line	:
City	:	COVINGTON
State	:	VA
Zip	:	24426-6120
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 EVERGREEN RD
Second Line	:
City	:	COVINGTON
State	:	VA
Zip	:	24426-6120
Country	:	US
Telephone Number	:	951-539-8943
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2024
Last Update Date	:	05/22/2024

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Directions to “ SHANNON SZWEB ” Practice Location

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