Provider Demographics
NPI:1235312042
Name:SWEITZER, CONNIE SUE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:SUE
Last Name:SWEITZER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:CONNIE
Other - Middle Name:SUE
Other - Last Name:WARSCHAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3709 MULLANE CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4174
Mailing Address - Country:US
Mailing Address - Phone:614-806-8758
Mailing Address - Fax:
Practice Address - Street 1:3709 MULLANE CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-4174
Practice Address - Country:US
Practice Address - Phone:614-806-8758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN115857164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse