Provider Demographics
NPI:1740161249
Name:SWISHER, MEGAN CORRINE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:CORRINE
Last Name:SWISHER
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 1:35135 LOOP RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:45775-9664
Mailing Address - Country:US
Mailing Address - Phone:740-508-7035
Mailing Address - Fax:
Practice Address - Street 1:2547 2ND ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:OH
Practice Address - Zip Code:45779-3462
Practice Address - Country:US
Practice Address - Phone:304-674-3844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty