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NPI Code Detail

MEDICARE: ANNMARIE SWANSON RN

MEDICARE: ANNMARIE SWANSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN618655PA

General Provider Information

NPI Number : 1003192527
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNMARIE SWANSON RN
Provider Business Mailing Address
First Line : 11627 MIDDLE RD
Second Line :
City : NORTH EAST
State : PA
Zip : 16428-3331
Country : US
Telephone Number : 814-347-5289
Fax Number :
Provider Business Practice Location Address
First Line : 11627 MIDDLE RD
Second Line :
City : NORTH EAST
State : PA
Zip : 16428-3331
Country : US
Telephone Number : 814-347-5289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2011
Last Update Date : 10/28/2011

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