Provider Demographics
NPI:1396305090
Name:SWINEHART, DEBORAH S (APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:SWINEHART
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44702-1607
Mailing Address - Country:US
Mailing Address - Phone:307-544-4313
Mailing Address - Fax:330-244-8839
Practice Address - Street 1:236 3RD ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44702-1607
Practice Address - Country:US
Practice Address - Phone:307-544-4313
Practice Address - Fax:330-244-8839
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN295782163W00000X
OHAPRN.CNP.0028772363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse