MEDICARE: ALISON SWIGGARD RD

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	133V00000X	Registered Dietitian	DN009446	PA
2	133V00000X	Registered Dietitian	DI1782	ME

General Provider Information

NPI Number	:	1902527765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON SWIGGARD RD

Provider Business Mailing Address
First Line	:	204 RHETT LN
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-2057
Country	:	US
Telephone Number	:	484-343-5432
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 MAIN ST
Second Line	:
City	:	GORHAM
State	:	ME
Zip	:	04038-1339
Country	:	US
Telephone Number	:	207-370-7787
Fax Number	:

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

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	02/14/2026

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Directions to “ ALISON SWIGGARD RD” Practice Location

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