Provider Demographics
NPI:1285098681
Name:SWARTZ, SARAH JANE (LPN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:SWARTZ
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:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:NOME
Mailing Address - State:AK
Mailing Address - Zip Code:99762-1471
Mailing Address - Country:US
Mailing Address - Phone:907-304-3485
Mailing Address - Fax:
Practice Address - Street 1:1670 NOME TELLER HIGHWAY
Practice Address - Street 2:
Practice Address - City:NOME
Practice Address - State:AK
Practice Address - Zip Code:99762-1471
Practice Address - Country:US
Practice Address - Phone:907-304-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK6146164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse