Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS010746L | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS010749L | PA |
NPI | 1588645618 |
---|---|
Provider Name | Amy E Swindell |
First Address | Huntingdon, PA 16652-6934 |
Second Address | Huntingdon, PA 16652-6934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 16/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019049990004 | (05) | PA |
2093619 | HIGHMARK (01) | PA |
H64164 | (02) |