Provider Demographics
NPI:1073126751
Name:SWAFFAR, MARINA ANNE (CNA)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:ANNE
Last Name:SWAFFAR
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 CARLA DR
Mailing Address - Street 2:
Mailing Address - City:MOOREFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:26836-8709
Mailing Address - Country:US
Mailing Address - Phone:304-490-7810
Mailing Address - Fax:
Practice Address - Street 1:386 CARLA DR
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-8631
Practice Address - Country:US
Practice Address - Phone:304-434-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant