Provider Demographics
NPI:1861871923
Name:SWOPE, NORMAN
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:
Last Name:SWOPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:NORMAN
Other - Middle Name:RUSSELL
Other - Last Name:SWOPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN, RN, OCN
Mailing Address - Street 1:100 MARKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3427
Mailing Address - Country:US
Mailing Address - Phone:501-529-5043
Mailing Address - Fax:
Practice Address - Street 1:100 MARKHAVEN DR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3427
Practice Address - Country:US
Practice Address - Phone:501-529-5043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR086123163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse