Provider Demographics
NPI:1700131687
Name:MCSWAIN, S'AMNISHA
Entity Type:Individual
Prefix:
First Name:S'AMNISHA
Middle Name:
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 1:1241 VALLEY AVE SE
Mailing Address - Street 2:APT. 105
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4353
Mailing Address - Country:US
Mailing Address - Phone:202-489-6313
Mailing Address - Fax:
Practice Address - Street 1:1241 VALLEY AVE SE
Practice Address - Street 2:APT. 105
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4353
Practice Address - Country:US
Practice Address - Phone:202-489-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide