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NPI Code Detail

MEDICARE: MS. PAULA JO SWENSON R.N.

MEDICARE:  MS. PAULA JO SWENSON  R.N.
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
1163W00000XRegistered Nurse252820TX

General Provider Information

NPI Number : 1902895139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA JO SWENSON R.N.
Provider Business Mailing Address
First Line : 1739 COUNTY ROAD 308
Second Line :
City : LEXINGTON
State : TX
Zip : 78947-5080
Country : US
Telephone Number : 512-273-0173
Fax Number : 512-491-1969
Provider Business Practice Location Address
First Line : 1739 COUNTY ROAD 308
Second Line :
City : LEXINGTON
State : TX
Zip : 78947-5080
Country : US
Telephone Number : 512-273-0173
Fax Number : 512-491-1969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/08/2007

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Directions to “ MS. PAULA JO SWENSON R.N.” Practice Location

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