Individual
MARY MICHELLE SWINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3000 ROSA L PARKS AVE, MONTGOMERY, AL 36105-1502
(334) 777-1290
(334) 746-7968
Mailing address
PO BOX 746063, ATLANTA, GA 30374-6063
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-076706
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135728
—
AL
Enumeration date
03/16/2011
Last updated
07/05/2024
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