Provider Demographics
NPI:1528394434
Name:SWARTWOOD, ANSLEIGH BROOKE (RD)
Entity Type:Individual
Prefix:
First Name:ANSLEIGH
Middle Name:BROOKE
Last Name:SWARTWOOD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ANSLEIGH
Other - Middle Name:BROOKE
Other - Last Name:ROWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:6010 W AMARILLO BLVD.
Mailing Address - Street 2:AMARILLO VA HEALTHCARE SYSTEM
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106
Mailing Address - Country:US
Mailing Address - Phone:806-355-9703
Mailing Address - Fax:
Practice Address - Street 1:6010 W AMARILLO BLVD.
Practice Address - Street 2:AMARILLO VA HEALTHCARE SYSTEM
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-355-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2022-04-27
Deactivation Date:2013-10-17
Deactivation Code:
Reactivation Date:2016-11-30
Provider Licenses
StateLicense IDTaxonomies
TXDT80573133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered