Doctor Name: | DOREEN EVONNE SWENDSEN |
NPI Number: | 1366752925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R73507-4 |
Business Practice Address: | 205 Third St International Falls, MN - 56649 |
Business Phone Number: | 2182836188 |
Business Fax Number: | 2182836188 |
Mailing Address: | 205 Third St, INTERNATIONAL FALLS |
State: | MN |
Postal Code: | 56649 |
Phone Number: | 2182836188 |
Fax Number: | 2182836188 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 10/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R73507-4 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |