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Individual
SUSAN G SWANSON
Active
Individual
SUSAN G SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209004305
IL
363LF0000X
Family Nurse Practitioner
Primary
277000681
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277000681
FULL PRACTICE AUTHORITY APRN
IL
Enumeration date
05/10/2006
Last updated
05/20/2021
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