Provider Demographics
NPI:1730414400
Name:SWAIN, STACY (CD, CCE, CLC)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:
Last Name:SWAIN
Suffix:
Gender:F
Credentials:CD, CCE, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 541
Mailing Address - Street 2:
Mailing Address - City:HAMPTON FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03844-0541
Mailing Address - Country:US
Mailing Address - Phone:603-501-9837
Mailing Address - Fax:603-929-4277
Practice Address - Street 1:93 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:HAMPTON FALLS
Practice Address - State:NH
Practice Address - Zip Code:03844-2200
Practice Address - Country:US
Practice Address - Phone:603-501-9837
Practice Address - Fax:603-929-4277
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174H00000XOther Service ProvidersHealth Educator