Provider Demographics
NPI:1104031517
Name:SWOOPE, KAROLE JEAN (LPN)
Entity Type:Individual
Prefix:MS
First Name:KAROLE
Middle Name:JEAN
Last Name:SWOOPE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 FOREST HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1364
Mailing Address - Country:US
Mailing Address - Phone:216-321-6787
Mailing Address - Fax:
Practice Address - Street 1:19500 GARDENVIEW DR
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2344
Practice Address - Country:US
Practice Address - Phone:216-322-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN024801164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse