Provider Demographics
NPI:1386391787
Name:SWOPE, MARY ELIZABETH ROSS (RN, BSN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:MARY ELIZABETH
Middle Name:ROSS
Last Name:SWOPE
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILMA AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2350
Mailing Address - Country:US
Mailing Address - Phone:330-819-7398
Mailing Address - Fax:
Practice Address - Street 1:200 WILMA AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2350
Practice Address - Country:US
Practice Address - Phone:330-819-7398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHL-305743163WL0100X
OH419430163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant