Healthcare Provider Details

I. General information

NPI: 1992386254
Provider Name (Legal Business Name): KRISTIN SWANSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 MAGAZINE ST
NEW ORLEANS LA
70130-5016
US

IV. Provider business mailing address

6100 CANAL BLVD
NEW ORLEANS LA
70124-3001
US

V. Phone/Fax

Practice location:
  • Phone: 504-529-5558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number240073
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN141786
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL110809
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: