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NPI Code Detail

MEDICARE: CHRISTOPHER R SWANSON APRN, FNP

MEDICARE:   CHRISTOPHER R SWANSON  APRN, FNP
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
1363LF0000XFamily Nurse Practitioner26NJ01292500NJ

General Provider Information

NPI Number : 1912574443
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER R SWANSON APRN, FNP
Provider Business Mailing Address
First Line : 430 ROADS END ST
Second Line :
City : GLENDALE
State : CA
Zip : 91205-3332
Country : US
Telephone Number : 609-213-0987
Fax Number :
Provider Business Practice Location Address
First Line : 100 CAMPUS TOWN CIR STE 100
Second Line :
City : EWING
State : NJ
Zip : 08638-1962
Country : US
Telephone Number : 609-799-7009
Fax Number : 609-799-7808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 03/12/2026

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