Provider Demographics
NPI:1467010447
Name:MCSWAIN, NIQUERIA VON'SHEA
Entity type:Individual
Prefix:
First Name:NIQUERIA
Middle Name:VON'SHEA
Last Name:MCSWAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 WELDWOOD DR
Mailing Address - Street 2:APT 6108
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816
Mailing Address - Country:US
Mailing Address - Phone:601-596-3275
Mailing Address - Fax:601-964-8983
Practice Address - Street 1:2455 WELDWOOD DR
Practice Address - Street 2:APT 6108
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816
Practice Address - Country:US
Practice Address - Phone:601-596-3275
Practice Address - Fax:601-964-8983
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20192481164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse