Provider Demographics
NPI:1184301871
Name:SWARTZMILLER, DEVIN MICHELLE (ASS, PRSS)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:MICHELLE
Last Name:SWARTZMILLER
Suffix:
Gender:F
Credentials:ASS, PRSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-1754
Mailing Address - Country:US
Mailing Address - Phone:304-521-1100
Mailing Address - Fax:304-699-2470
Practice Address - Street 1:4510 TERRACE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-1754
Practice Address - Country:US
Practice Address - Phone:304-521-1100
Practice Address - Fax:304-699-2470
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21-999175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist