Provider Demographics
NPI:1902341753
Name:SWINNEY, DIONNETTE (CNAMA)
Entity type:Individual
Prefix:
First Name:DIONNETTE
Middle Name:
Last Name:SWINNEY
Suffix:
Gender:F
Credentials:CNAMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ELLERBE GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7349
Mailing Address - Country:US
Mailing Address - Phone:910-557-5490
Mailing Address - Fax:910-997-3777
Practice Address - Street 1:121 ELLERBE GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-7349
Practice Address - Country:US
Practice Address - Phone:910-557-5490
Practice Address - Fax:910-997-3777
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC185424376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide