Individual
TEGAN SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-4238
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1312
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02658
MEDICARE YNHH MEDICARE NUMBER
CT
Enumeration date
12/30/2014
Last updated
03/15/2021
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