Healthcare Provider Details

I. General information

NPI: 1497070916
Provider Name (Legal Business Name): LINDSAY SWARTZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N 1ST ST APT 600
MINNEAPOLIS MN
55401-4316
US

IV. Provider business mailing address

19021 FREEPORT ST NW
ELK RIVER MN
55330-1278
US

V. Phone/Fax

Practice location:
  • Phone: 763-633-3800
  • Fax:
Mailing address:
  • Phone: 763-633-3800
  • Fax: 763-633-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR 187901-0
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: