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NPI Code Detail

MEDICARE: STEPHANIE SWENSON MSN, CPNP-PC

MEDICARE:   STEPHANIE  SWENSON  MSN, CPNP-PC
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
1363LP0200XPediatric Nurse Practitioner95006432CA
2208000000XPediatrics Physician95006432CA

General Provider Information

NPI Number : 1063948453
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SWENSON MSN, CPNP-PC
Provider Business Mailing Address
First Line : 2943 STEINER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3903
Country : US
Telephone Number : 650-391-7887
Fax Number :
Provider Business Practice Location Address
First Line : 2730 WILSHIRE BLVD STE 425
Second Line :
City : SANTA MONICA
State : CA
Zip : 90403-4747
Country : US
Telephone Number : 949-694-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2017
Last Update Date : 07/31/2024

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Directions to “ STEPHANIE SWENSON MSN, CPNP-PC” Practice Location

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