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NPI Code Detail

MEDICARE: MARCIE RAE SWENSON RN

MEDICARE: MARCIE RAE SWENSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse380005-3102UT

General Provider Information

NPI Number : 1841139110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIE RAE SWENSON RN
Provider Business Mailing Address
First Line : 301 E EMMITT AVE
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E EMMITT AVE
Second Line :
City : WAVERLY
State : OH
Zip : 45690-1339
Country : US
Telephone Number : 801-830-9113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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