Healthcare Provider Details

I. General information

NPI: 1568063667
Provider Name (Legal Business Name): MARIA K SWISHER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MARIA KNIGHT

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 FOUNTAINS BLVD NE STE 203
CEDAR RAPIDS IA
52411-6632
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-727-8297
  • Fax: 319-734-2033
Mailing address:
  • Phone: 319-356-8223
  • Fax: 319-467-7762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG161088
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberG161088
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: