Healthcare Provider Details

I. General information

NPI: 1114732179
Provider Name (Legal Business Name): CHRISTIAN SWENSEN FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 N MAIN ST STE 101
CEDAR CITY UT
84721-9761
US

IV. Provider business mailing address

PO BOX 912042
SAINT GEORGE UT
84791-2042
US

V. Phone/Fax

Practice location:
  • Phone: 435-233-7375
  • Fax: 435-701-2385
Mailing address:
  • Phone: 435-586-2229
  • Fax: 435-586-2022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10892771-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: