Provider Demographics
NPI:1225648835
Name:SWINDLEHURST A&A LLC
Entity Type:Organization
Organization Name:SWINDLEHURST A&A LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WESTON
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWINDLEHURST
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:435-590-7817
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:KANAB
Mailing Address - State:UT
Mailing Address - Zip Code:84741-0378
Mailing Address - Country:US
Mailing Address - Phone:435-590-7817
Mailing Address - Fax:
Practice Address - Street 1:355 MAIN ST
Practice Address - Street 2:
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741
Practice Address - Country:US
Practice Address - Phone:435-644-5811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty