=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093955031
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA MORSE SWANSON RN, MSN, FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2009
-----------------------------------------------------
Last Update Date | 03/04/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3599 BIG RIDGE RD
-----------------------------------------------------
City | SPENCERPORT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14559-1709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-352-2749
-----------------------------------------------------
Fax | 585-625-2666
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3599 BIG RIDGE RD
-----------------------------------------------------
City | SPENCERPORT
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14559-1709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-352-2749
-----------------------------------------------------
Fax | 585-625-2666
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | F330926-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------