Provider Demographics
NPI:1952025165
Name:SWABY, CAROL J (ARNP-A-GNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:J
Last Name:SWABY
Suffix:
Gender:F
Credentials:ARNP-A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6087 ADRIATIC WAY
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1094
Mailing Address - Country:US
Mailing Address - Phone:561-396-3496
Mailing Address - Fax:
Practice Address - Street 1:6087 ADRIATIC WAY
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-1094
Practice Address - Country:US
Practice Address - Phone:561-396-3496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022379363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty