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NPI Code Detail

MEDICARE: KATIE JOANNE SWOPE CRNA, MS

MEDICARE:   KATIE JOANNE SWOPE  CRNA, MS
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
1367500000XCertified Registered Nurse Anesthetist78236OK

General Provider Information

NPI Number : 1861671729
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE JOANNE SWOPE CRNA, MS
Provider Business Mailing Address
First Line : 621 RIDGELY AVE
Second Line : STE 101
City : ANNAPOLIS
State : MD
Zip : 21401-1087
Country : US
Telephone Number : 410-583-1000
Fax Number :
Provider Business Practice Location Address
First Line : 901 DULANEY VALLEY RD STE 220
Second Line :
City : TOWSON
State : MD
Zip : 21204-0621
Country : US
Telephone Number : 410-583-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2007
Last Update Date : 10/01/2019

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Directions to “ KATIE JOANNE SWOPE CRNA, MS” Practice Location

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