Provider Demographics
NPI:1598829103
Name:SWATKOWSKI, KATHRYN N (CNM)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:N
Last Name:SWATKOWSKI
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 HIGH ST
Practice Address - Street 2:SUITE 1004
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3100
Practice Address - Country:US
Practice Address - Phone:570-321-3300
Practice Address - Fax:570-321-3301
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2015-02-23
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Provider Licenses
StateLicense IDTaxonomies
PAMW008432L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025056500001Medicaid