MEDICARE: MS. DAWN ELYNN SWINFORD ARNP

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	363LW0102X	Women's Health Nurse Practitioner	69394	OK

General Provider Information

NPI Number	:	1427350214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN ELYNN SWINFORD ARNP

Provider Business Mailing Address
First Line	:	1202 W FARM RD
Second Line	:
City	:	STILLWATER
State	:	OK
Zip	:	74078-2036
Country	:	US
Telephone Number	:	405-744-7032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 W FARM RD
Second Line	:
City	:	STILLWATER
State	:	OK
Zip	:	74078-2036
Country	:	US
Telephone Number	:	405-744-7032
Fax Number	:

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

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	09/13/2013

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