Provider Demographics
NPI:1699507582
Name:SWANSON-CARTER, LARINA
Entity type:Individual
Prefix:MRS
First Name:LARINA
Middle Name:
Last Name:SWANSON-CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 RITA ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3831
Mailing Address - Country:US
Mailing Address - Phone:608-333-3104
Mailing Address - Fax:
Practice Address - Street 1:4605 RITA ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-3831
Practice Address - Country:US
Practice Address - Phone:608-333-3104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide