Doctor Name: | MRS. MARISSA SWINDLE |
NPI Number: | 1124449822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | 39 |
Business Practice Address: | 750 Morphy Ave Fairhope, AL - 365321812 |
Business Phone Number: | 2519901109 |
Business Fax Number: | |
Mailing Address: | 14599 Samuel Williams Ln, FAIRHOPE |
State: | AL |
Postal Code: | 365325605 |
Phone Number: | 2519903642 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 39 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |