Healthcare Provider Details

I. General information

NPI: 1063398105
Provider Name (Legal Business Name): MAYLIN SUE YAO SWAYNE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 4TH AVE SE
CEDAR RAPIDS IA
52403-2405
US

IV. Provider business mailing address

1002 4TH AVE SE
CEDAR RAPIDS IA
52403-2405
US

V. Phone/Fax

Practice location:
  • Phone: 319-298-2200
  • Fax:
Mailing address:
  • Phone: 319-298-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: