Provider Demographics
NPI:1477968840
Name:SWART, CAROL LYNNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LYNNE
Last Name:SWART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:LYNNE
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6705 NW 10TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4212
Mailing Address - Country:US
Mailing Address - Phone:352-333-4566
Mailing Address - Fax:352-333-4569
Practice Address - Street 1:6705 NW 10TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4212
Practice Address - Country:US
Practice Address - Phone:352-333-4566
Practice Address - Fax:352-333-4569
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1283322163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse