Provider Demographics
NPI:1295379477
Name:SWIGER, MICHELLE LEA (LPN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEA
Last Name:SWIGER
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 1:18283 BENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44230-9710
Mailing Address - Country:US
Mailing Address - Phone:570-881-5980
Mailing Address - Fax:
Practice Address - Street 1:18283 BENTWOOD DR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:OH
Practice Address - Zip Code:44230-9710
Practice Address - Country:US
Practice Address - Phone:570-881-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH169186164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse