Provider Demographics
NPI:1235504713
Name:SWAIN, CATHERINE D (STNA)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:D
Last Name:SWAIN
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5131 FREE PIKE
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-2304
Mailing Address - Country:US
Mailing Address - Phone:937-837-8520
Mailing Address - Fax:
Practice Address - Street 1:5131 FREE PIKE
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-2304
Practice Address - Country:US
Practice Address - Phone:937-321-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant