Healthcare Provider Details

I. General information

NPI: 1700562550
Provider Name (Legal Business Name): ALANAH SWANSON RPH, PHARMD, ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 ROCKWELL DR NE
CEDAR RAPIDS IA
52402-7216
US

IV. Provider business mailing address

180 S 19TH STREET CT
MARION IA
52302-4143
US

V. Phone/Fax

Practice location:
  • Phone: 319-214-5265
  • Fax: 319-289-9126
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24336
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: