Basic Information
| Provider Information | |||||||||
| NPI: | 1346689619 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWINEY | ||||||||
| FirstName: | L. | ||||||||
| MiddleName: | BROOKE | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. DRAWER 900 | ||||||||
| Address2: | 1389 DANTE ROAD | ||||||||
| City: | ST. PAUL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 242830900 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | P.O. DRAWER 900 | ||||||||
| Address2: | 1389 DANTE ROAD | ||||||||
| City: | ST. PAUL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 242830900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2767620770 | ||||||||
| FaxNumber: | 2767620678 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2013 | ||||||||
| LastUpdateDate: | 11/20/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024170764 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.