Doctor Name: | LAUREN ANI SWISHER |
NPI Number: | 1013249630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MMSC., PA-C, ATC |
License Number: | 763 |
Business Practice Address: | 17 Riverside St Suite 101 Nashua, NH - 030621304 |
Business Phone Number: | 6038830091 |
Business Fax Number: | |
Mailing Address: | 17 Riverside St, Ste 101 NASHUA |
State: | NH |
Postal Code: | 030621304 |
Phone Number: | 6038830091 |
Fax Number: | 6038813739 |
NPI Enumeration Date: | 02/07/2010 |
NPI Last Update Date: | 03/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |