Provider Demographics
NPI:1750188223
Name:SWACKHAMER, MAEVE ROSE
Entity type:Individual
Prefix:
First Name:MAEVE
Middle Name:ROSE
Last Name:SWACKHAMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5022 S PLATTE RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7814
Mailing Address - Country:US
Mailing Address - Phone:952-290-6641
Mailing Address - Fax:
Practice Address - Street 1:5022 S PLATTE RIVER PKWY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7814
Practice Address - Country:US
Practice Address - Phone:952-290-6641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program