Provider Demographics
NPI:1629225206
Name:CHAPLIN-SWOPE, BERNADETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:
Last Name:CHAPLIN-SWOPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-2357
Mailing Address - Country:US
Mailing Address - Phone:516-924-3628
Mailing Address - Fax:
Practice Address - Street 1:83 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-2357
Practice Address - Country:US
Practice Address - Phone:631-772-8029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286240164W00000X
NY695688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse