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NPI Code Detail

MEDICARE: MRS. DANA MICHELLE SWEITZER AGACNP-BC

MEDICARE: MRS. DANA MICHELLE SWEITZER AGACNP-BC
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
1363L00000XNurse PractitionerRN232965GA
2363L00000XNurse Practitioner17820TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104259324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA MICHELLE SWEITZER AGACNP-BC
Provider Business Mailing Address
First Line : 1420 FRITZ ST SE
Second Line :
City : CLEVELAND
State : TN
Zip : 37323-6009
Country : US
Telephone Number : 423-479-4165
Fax Number : 423-478-5289
Provider Business Practice Location Address
First Line : 1420 FRITZ ST SE
Second Line :
City : CLEVELAND
State : TN
Zip : 37323-6009
Country : US
Telephone Number : 423-479-4165
Fax Number : 423-478-5289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2013
Last Update Date : 09/02/2022

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