Provider Demographics
NPI:1194094185
Name:SWAIN, CIERA TAWAUN (LPN)
Entity type:Individual
Prefix:MS
First Name:CIERA
Middle Name:TAWAUN
Last Name:SWAIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 GURLEY AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2556
Mailing Address - Country:US
Mailing Address - Phone:330-310-8131
Mailing Address - Fax:
Practice Address - Street 1:1439 GURLEY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2556
Practice Address - Country:US
Practice Address - Phone:330-310-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN145362164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse