Provider Demographics
NPI:1134873037
Name:SWAIN, CASSANDRA (REGISTERED NURS)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:
Last Name:SWAIN
Suffix:
Gender:F
Credentials:REGISTERED NURS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BATTLE STREET EAST
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160
Mailing Address - Country:US
Mailing Address - Phone:256-368-8215
Mailing Address - Fax:
Practice Address - Street 1:305 BATTLE STREET EAST
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160
Practice Address - Country:US
Practice Address - Phone:256-368-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-10246163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health