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Individual
REBECCA SWANSON
Active
Individual
REBECCA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209001137
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050610
HEALTH ALLIANCE
IL
01
—
472310
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01R5
JOHN DEERE
IL
Enumeration date
06/12/2006
Last updated
10/03/2018
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