Provider Demographics
NPI:1922759521
Name:SWIFTWATER HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:SWIFTWATER HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:APARICIO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:509-312-0614
Mailing Address - Street 1:102 TABLE MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-9051
Mailing Address - Country:US
Mailing Address - Phone:509-312-0614
Mailing Address - Fax:
Practice Address - Street 1:102 TABLE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-9051
Practice Address - Country:US
Practice Address - Phone:509-312-0614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center