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Individual
MARYANNE SWANSON
Active
Individual
MARYANNE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704135700
MI
363LA2200X
Adult Health Nurse Practitioner
4704135700
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704135700
MI
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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