Provider Demographics
NPI:1609449800
Name:SWARTZ, DOMINIQUE HANNAH (RN)
Entity Type:Individual
Prefix:MRS
First Name:DOMINIQUE
Middle Name:HANNAH
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DOMINIQUE
Other - Middle Name:HANNAH
Other - Last Name:PAPILLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1377 BARTLETT CT NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8933
Mailing Address - Country:US
Mailing Address - Phone:360-471-0576
Mailing Address - Fax:
Practice Address - Street 1:1377 BARTLETT CT NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8933
Practice Address - Country:US
Practice Address - Phone:360-471-0576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61070919163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health