Provider Demographics
NPI:1427377787
Name:SWAIN, CAROLYN ESTHER (RN)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ESTHER
Last Name:SWAIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 PRE EMPTION ROAD
Mailing Address - Street 2:SIBLEY NURSING SERVICE
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456
Mailing Address - Country:US
Mailing Address - Phone:315-781-0863
Mailing Address - Fax:
Practice Address - Street 1:590 PRE EMPTION ROAD
Practice Address - Street 2:SIBLEY NURSING SERVICE
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456
Practice Address - Country:US
Practice Address - Phone:315-781-0863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY383475163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse