Provider Demographics
NPI:1881039691
Name:SWIECH, HEATHER A (CRNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:SWIECH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:A
Other - Last Name:SHAWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1119 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3805
Mailing Address - Country:US
Mailing Address - Phone:724-708-1649
Mailing Address - Fax:
Practice Address - Street 1:1119 GRANT ST
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3805
Practice Address - Country:US
Practice Address - Phone:724-708-1649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012860208D00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251713534OtherEIN