MEDICARE: NEIGHBORHOOD FAMILY HEALTH PLLC

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	363LF0000X	Family Nurse Practitioner	AP121892	TX

General Provider Information

NPI Number	:	1891166948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD FAMILY HEALTH PLLC

Provider Business Mailing Address
First Line	:	PO BOX 9694
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78766-9694
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 JUSTIN LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-2411
Country	:	US
Telephone Number	:	512-766-8454
Fax Number	:	512-519-2961

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	VICTORIA SWYNENBERG
Credential	:	APRN, FNP-C
Telephone Number	:	512-766-8454

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	04/30/2018

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