Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1-121688 | AL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 1-121688 | AL |
NPI | 1083966345 |
---|---|
Provider Name | Barbara Lou Swartz |
First Address | Mobile, AL 36652-2867 |
Second Address | Mobile, AL 36603-5827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2012 |
Last Update Date | 24/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011846 | MEDICARE GROUP PAYEE NUMBER (01) | AL |
1063439065 | NPI GROUP MAIN PAYEE NUMBER (01) | AL |
630000013 | (05) | AL |