Provider Demographics
NPI:1790178515
Name:SWINEHART, ASHLEIGH MAUREEN (RN/BSN)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:MAUREEN
Last Name:SWINEHART
Suffix:
Gender:F
Credentials:RN/BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 EWING ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2907
Mailing Address - Country:US
Mailing Address - Phone:567-201-8301
Mailing Address - Fax:
Practice Address - Street 1:109 WEST LINCOLN ST.
Practice Address - Street 2:
Practice Address - City:LINDSEY
Practice Address - State:OH
Practice Address - Zip Code:43442
Practice Address - Country:US
Practice Address - Phone:419-665-2327
Practice Address - Fax:419-665-2241
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.319154-163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse