Individual
AUDREY SWOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1510 GLENVIEW AVE, MADISON, OH 44057-1012
(440) 983-1046
Mailing address
1510 GLENVIEW AVE, MADISON, OH 44057-1012
(440) 983-1046
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160185
—
OH
Enumeration date
04/19/2016
Last updated
04/19/2016
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