Provider Demographics
NPI:1700882875
Name:SWEGLE, JAMES H (ARNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:SWEGLE
Suffix:
Gender:M
Credentials:ARNP
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Mailing Address - Street 1:1400 E KINCAID ST
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4127
Mailing Address - Country:US
Mailing Address - Phone:360-428-2500
Mailing Address - Fax:360-428-6485
Practice Address - Street 1:208 S. 14TH STREET
Practice Address - Street 2:SKAGIT VALLEY HOSPITAL - WOUND HEALING CENTER
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274
Practice Address - Country:US
Practice Address - Phone:360-814-2600
Practice Address - Fax:360-814-8390
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP30001783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS84223Medicare UPIN
WA8905224Medicare PIN
WA9602418Medicaid
WA73009OtherLI