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NPI Code Detail

MEDICARE: MRS. ANDREA L SWENSON DNP, APRN, AGCNS-BC

MEDICARE:  MRS. ANDREA L SWENSON  DNP, APRN, AGCNS-BC
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
1364SG0600XGerontology Clinical Nurse Specialist602MN

General Provider Information

NPI Number : 1760005433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA L SWENSON DNP, APRN, AGCNS-BC
Provider Business Mailing Address
First Line : 7066 E LAKE CARLOS DR NE
Second Line :
City : CARLOS
State : MN
Zip : 56319-8113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 JEFFERSON ST
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-3707
Country : US
Telephone Number : 320-762-4925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 08/14/2024

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Directions to “ MRS. ANDREA L SWENSON DNP, APRN, AGCNS-BC” Practice Location

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