Provider Demographics
NPI:1194114850
Name:SWARTLEY, HEATHER RENEE (RN, BSN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:RENEE
Last Name:SWARTLEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 N MAIN ST
Mailing Address - Street 2:P.O. BOX 51
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1904
Mailing Address - Country:US
Mailing Address - Phone:267-347-0513
Mailing Address - Fax:215-257-8420
Practice Address - Street 1:7650 ROUTE 309
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-2130
Practice Address - Country:US
Practice Address - Phone:610-282-1919
Practice Address - Fax:610-282-0474
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN620096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse