Provider Demographics
NPI:1790659936
Name:SWESTOCK, NATALYA
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:SWESTOCK
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 1:104 BREEZE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:REEDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26547-7503
Mailing Address - Country:US
Mailing Address - Phone:602-413-2914
Mailing Address - Fax:
Practice Address - Street 1:104 BREEZE VIEW DR
Practice Address - Street 2:
Practice Address - City:REEDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26547-7503
Practice Address - Country:US
Practice Address - Phone:602-413-2914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide