Provider Demographics
NPI:1407634595
Name:SWINDELL, KATHRYN (FNP-C)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:SWINDELL
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST STE 1210
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2032
Mailing Address - Country:US
Mailing Address - Phone:212-203-2813
Mailing Address - Fax:646-607-9061
Practice Address - Street 1:115 E 57TH ST STE 1210
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2032
Practice Address - Country:US
Practice Address - Phone:212-203-2813
Practice Address - Fax:646-607-9061
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY751850-01163WM0705X
NYF352639363LF0000X
NYF352639-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical