Doctor Name: | DARA LYNN SWANSON |
NPI Number: | 1265868970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 2013012605 |
Business Practice Address: | 750 E 34th St Hibbing, MN - 557462341 |
Business Phone Number: | 2183626224 |
Business Fax Number: | |
Mailing Address: | 750 E 34th St, HIBBING |
State: | MN |
Postal Code: | 557462341 |
Phone Number: | 2183626224 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2013 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2013012605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |