Individual
AMANDA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R37237
ND
367A00000X
Advanced Practice Midwife
Primary
R37237
ND
Other
Enumeration date
04/30/2014
Last updated
12/04/2018
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