Joan Marie Swal, LPN
Individual provider Active NPI Licensed Practical Nurse · South Shore, KY
NPI 1992020531 · NPPES record last updated Apr 6, 2010
Key facts
- NPI
- 1992020531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 131255 (OH)
- Practice address
- 289 Berry Garden LN
South Shore, KY 41175-8718 - Phone
- (606) 932-9517
- NPI assigned
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131255 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 131255 | OH | Yes |
Addresses
Primary practice location
289 Berry Garden LN
South Shore, KY 41175-8718
Mailing address
289 Berry Garden LN
South Shore, KY 41175-8718
Phone (606) 932-9517
Other providers in South Shore, KY
- Shore Side Behavioral Health Service, LLC
- South Shore Family Medical Clinic
- South Shore Nursing and Rehabilitation LLC
- South Shore Physical Therapy
- Lora Stone
- Jessica Tabor
- Cathy Sue Tackett
- Laura Tarr
- Mandy Lee West
- Dora Jo Williams
All providers in South Shore, KY · Licensed Practical Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.