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General NPI Number Information
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NPI Number | 1407827991
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Entity Type | Individual
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Provider Name | JOALEEN SWANSON NP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 351 HARTNELL AVE
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City | REDDING
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State | CA
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Zip | 96002-1845
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Country | US
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Telephone | 530-226-7534
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Fax | 530-226-7568
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Provider Business Mailing Address
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Address Line | 15294 SANTA THERESE CT
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City | RED BLUFF
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State | CA
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Zip | 96080-9450
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Country | US
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Telephone | 530-529-1935
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277811
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License Number State | CA
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