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NPI Code Detail

MEDICARE: MICHELLE SWANN APRN

MEDICARE: MICHELLE SWANN APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11001381FL
2363L00000XNurse PractitionerAPRN11001381FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LP553OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235784687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SWANN APRN
Provider Business Mailing Address
First Line : 3300 S FISKE BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-4306
Country : US
Telephone Number : 321-434-3430
Fax Number : 321-951-7408
Provider Business Practice Location Address
First Line : 1810 ELDRON BLVD SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6831
Country : US
Telephone Number : 321-434-3430
Fax Number : 321-434-3432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2019
Last Update Date : 02/10/2026

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