Individual
STEPHANIE NICOLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-3760
Mailing address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-3760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018194
IL
Other
Enumeration date
10/10/2018
Last updated
11/18/2020
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