MEDICARE: TANYA S SWIFT

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	175L00000X	Homeopath

General Provider Information

NPI Number	:	1447882261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA S SWIFT

Provider Business Mailing Address
First Line	:	8750 SPRING VIEW WAY
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-9143
Country	:	US
Telephone Number	:	651-278-5582
Fax Number	:

Provider Business Practice Location Address
First Line	:	8750 SPRING VIEW WAY
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55125-9143
Country	:	US
Telephone Number	:	651-278-5582
Fax Number	:

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

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	02/10/2020

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Directions to “ TANYA S SWIFT ” Practice Location

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