Provider Demographics
NPI:1255820536
Name:SWIHART, BRIDGET ELLEN (RN)
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:ELLEN
Last Name:SWIHART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:BRIDGET
Other - Middle Name:ELLEN
Other - Last Name:CUMBERLEDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6823 MILITIA HILL ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718
Mailing Address - Country:US
Mailing Address - Phone:330-836-0815
Mailing Address - Fax:330-294-5293
Practice Address - Street 1:1729 PORTAGE TRAIL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223
Practice Address - Country:US
Practice Address - Phone:330-836-0815
Practice Address - Fax:330-294-5293
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN295228163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty