Individual
SANDRA ELLEN SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
1200 STEPHENSON AVENUE, PARKERSBURG, WV 26101-4936
(304) 420-5819
(304) 422-8850
Mailing address
2712 FAIRVIEW AVE, PARKERSBURG, WV 26104-2706
(304) 428-0815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34047
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105014000
—
WV
Enumeration date
01/08/2007
Last updated
05/16/2011
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