Provider Demographics
NPI:1134365299
Name:SWANEY, AMY LYNN (FNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:SWANEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4336 STATE ROUTE 725
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-2742
Mailing Address - Country:US
Mailing Address - Phone:937-848-4141
Mailing Address - Fax:937-848-4252
Practice Address - Street 1:4336 STATE ROUTE 725
Practice Address - Street 2:
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-2742
Practice Address - Country:US
Practice Address - Phone:937-848-4141
Practice Address - Fax:937-848-4252
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.208358163W00000X
OH10269-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSW2031201Medicare PIN