Provider Demographics
NPI:1154142644
Name:SWARTZ, COURTNEY AMANDA (RDN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:AMANDA
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16016 ROBRICK AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-9418
Mailing Address - Country:US
Mailing Address - Phone:616-218-9601
Mailing Address - Fax:
Practice Address - Street 1:16016 ROBRICK AVE
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-9418
Practice Address - Country:US
Practice Address - Phone:616-218-9601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered