Provider Demographics
NPI:1477029189
Name:SWINEHART, CAMILA (CNP, FNP-BC, MSN, RN)
Entity Type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:SWINEHART
Suffix:
Gender:F
Credentials:CNP, FNP-BC, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNION ST UNIT 21502
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98111-1623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 UNION ST UNIT 21502
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98111-1623
Practice Address - Country:US
Practice Address - Phone:425-395-0741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-19
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.023825OtherOHIO BOARD OF NURSING
FLAPRN11005849OtherFLORIDA BOARD OF NURSING
WAAP61309656OtherWASHINGTON DEPARTMENT OF HEALTH