Provider Demographics
NPI:1710671961
Name:SWIGER, DAWN RENA (RN)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:RENA
Last Name:SWIGER
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 1:231 BEAR RUN RD
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:WV
Mailing Address - Zip Code:26448-8512
Mailing Address - Country:US
Mailing Address - Phone:304-669-3949
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:WV
Practice Address - Zip Code:26301-4155
Practice Address - Country:US
Practice Address - Phone:304-623-3461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV69856163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency