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NPI Code Detail

MEDICARE: DR. NANCY LYNN SWIGONSKI M.D., MPH

MEDICARE: DR. NANCY LYNN SWIGONSKI M.D., MPH
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
1208000000XPediatrics Physician01033713AIN

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 : 1255380689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY LYNN SWIGONSKI M.D., MPH
Provider Business Mailing Address
First Line : PO BOX 1026
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1026
Country : US
Telephone Number : 317-274-1201
Fax Number : 317-278-9905
Provider Business Practice Location Address
First Line : 6067 DECATUR BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-9606
Country : US
Telephone Number : 317-856-5201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 11/19/2020

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