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Individual
SWADA IDDRIS
Active
Individual
SWADA IDDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682460
NY
176B00000X
Midwife
F002479
NY
363LW0102X
Women's Health Nurse Practitioner
F421449
NY
Other
Enumeration date
04/23/2014
Last updated
04/29/2026
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