MEDICARE: BETHANIE GRACE SWIER NBC-HWC

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	171400000X	Health & Wellness Coach	A-3687756	MI

General Provider Information

NPI Number	:	1407542038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANIE GRACE SWIER NBC-HWC

Provider Business Mailing Address
First Line	:	4018 PLYMOUTH DR
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5032
Country	:	US
Telephone Number	:	231-206-9003
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 CENTER ST STE C
Second Line	:
City	:	NORTH MUSKEGON
State	:	MI
Zip	:	49445-3113
Country	:	US
Telephone Number	:	231-206-9003
Fax Number	:

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

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	04/17/2023

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