Provider Demographics
NPI:1942513585
Name:SWITALA, AMY JEANNINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JEANNINE
Last Name:SWITALA
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 1:9352 SAINT ANGELAS WAY
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-8975
Mailing Address - Country:US
Mailing Address - Phone:419-215-1983
Mailing Address - Fax:
Practice Address - Street 1:9352 SAINT ANGELAS WAY
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-8975
Practice Address - Country:US
Practice Address - Phone:419-215-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN271657163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics