Individual
MRS. SHELLEY R SWAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, NP-C
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7170
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7170
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2006022451
MO
363LF0000X
Family Nurse Practitioner
Primary
2015039023
MO
Other
Enumeration date
09/11/2015
Last updated
05/12/2016
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