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NPI Code Detail

MEDICARE: DINA G SWANSON APRN-FPA, FNP-BC

MEDICARE: DINA G SWANSON APRN-FPA, FNP-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
1363LA2200XAdult Health Nurse Practitioner277.000250IL
2363LF0000XFamily Nurse Practitioner277.000250IL
3363LP0200XPediatric Nurse Practitioner277.000250IL
4363LP2300XPrimary Care Nurse Practitioner277.000250IL
5363L00000XNurse Practitioner209010779IL
6363LP0808XPsychiatric/Mental Health Nurse Practitioner277.000250IL

General Provider Information

NPI Number : 1184052516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA G SWANSON APRN-FPA, FNP-BC
Provider Business Mailing Address
First Line : 723 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-4384
Country : US
Telephone Number : 217-213-5808
Fax Number : 217-213-6290
Provider Business Practice Location Address
First Line : 723 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-4384
Country : US
Telephone Number : 217-213-5808
Fax Number : 217-213-6290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2013
Last Update Date : 12/28/2025

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