MEDICARE: ERICA SWINNEY

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
1	363LF0000X	Family Nurse Practitioner	3010070	KY
2	363LF0000X	Family Nurse Practitioner	71006086A	IN

General Provider Information

NPI Number	:	1225496185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA SWINNEY

Provider Business Mailing Address
First Line	:	140 WHITTINGTON PKWY STE 100
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4930
Country	:	US
Telephone Number	:	502-327-9100
Fax Number	:	855-632-8329

Provider Business Practice Location Address
First Line	:	8888 KEYSTONE XING
Second Line	:	STE 1300
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4609
Country	:	US
Telephone Number	:	866-460-3567
Fax Number	:	855-632-8329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2016
Last Update Date	:	02/18/2016

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