Individual
ABIGAIL NICOLE SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 963-9029
Mailing address
11725 ILLINOIS ST STE 450, CARMEL, IN 46032-3010
(317) 688-5725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002945A
IN
133VN1004X
Pediatric Nutrition Registered Dietitian
86101173
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430991
MEDICARE PTAN
IN
Enumeration date
03/16/2020
Last updated
11/05/2024
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