Provider Demographics
NPI:1669484465
Name:SWARTZ, CAROL JEAN (APRN)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JEAN
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:JEAN
Other - Last Name:SPROWLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:10739 S US 127
Mailing Address - Street 2:
Mailing Address - City:DUNNVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42528-6037
Mailing Address - Country:US
Mailing Address - Phone:606-787-3405
Mailing Address - Fax:
Practice Address - Street 1:10739 S US 127
Practice Address - Street 2:
Practice Address - City:DUNNVILLE
Practice Address - State:KY
Practice Address - Zip Code:42528-6037
Practice Address - Country:US
Practice Address - Phone:606-787-3405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003253363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
12335332OtherCAQH