Provider Demographics
NPI:1235567900
Name:SWIRE, MALIENA MAE
Entity type:Individual
Prefix:MRS
First Name:MALIENA
Middle Name:MAE
Last Name:SWIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 PULLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-3332
Mailing Address - Country:US
Mailing Address - Phone:585-415-1683
Mailing Address - Fax:
Practice Address - Street 1:377 PULLMAN AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-3332
Practice Address - Country:US
Practice Address - Phone:585-415-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315105164W00000X
NY991282163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse