Heather Christine Swander, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.119334 Issued in OH

Practice address

3652 County Road 223
Clyde, OH 43410-9703

Phone

(419) 307-1686

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1053532382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 COUNTY ROAD 223",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434109703",
            "telephone_number": "419-307-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 COUNTY ROAD 223",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434109703",
            "telephone_number": "419-307-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S Church St",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "OH",
            "postal_code": "434102111",
            "country_code": "US",
            "telephone_number": "419-547-0059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANDER",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.119334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer L Van Hattem, LPN
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• Shawn Carl Wagner
• Nicole Marie Wetoskey, PHARM. D

• Licensed Practical Nurse in Clyde, OH
• Providers in Clyde, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.