Provider Demographics
NPI:1245978873
Name:SWOPE, ELIZABETH JOY (CNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOY
Last Name:SWOPE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SEIBERLING DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-3239
Mailing Address - Country:US
Mailing Address - Phone:954-864-0072
Mailing Address - Fax:
Practice Address - Street 1:8655 MARKET ST STE 140
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4112
Practice Address - Country:US
Practice Address - Phone:440-255-6400
Practice Address - Fax:440-255-3637
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH424172163W00000X
OHAPRN.CNP.0031533363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse