Provider Demographics
NPI:1871951319
Name:SWED, NOAH DAVID (RN)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:DAVID
Last Name:SWED
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22657 LAWSON RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-6639
Mailing Address - Country:US
Mailing Address - Phone:302-682-3186
Mailing Address - Fax:
Practice Address - Street 1:22657 LAWSON RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-6639
Practice Address - Country:US
Practice Address - Phone:302-682-3186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0048062163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse