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Individual
NICOLE SWANN
Active
Individual
NICOLE SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200976440
—
IN
05
—
78007408
—
KY
Enumeration date
05/31/2007
Last updated
04/24/2020
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