Healthcare Provider Details

I. General information

NPI: 1174872188
Provider Name (Legal Business Name): ERIN M SWINGLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E CUMBERLAND RD
ALTAMONT IL
62411-1271
US

IV. Provider business mailing address

1207 NETWORK CENTRE DR STE 3
EFFINGHAM IL
62401-4632
US

V. Phone/Fax

Practice location:
  • Phone: 618-483-6151
  • Fax: 618-483-6153
Mailing address:
  • Phone: 217-347-2707
  • Fax: 217-347-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.009731
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: