Individual
SHANNON KATHLEEN SWIONTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2629 8TH ST W, WEST FARGO, ND 58078-4072
(701) 793-6051
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R43973
ND
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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