Individual
KATIE MARGARET SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 STATE ST N, WASECA, MN 56093
(507) 835-1210
Mailing address
5375 NE 14TH AVE, MEDFORD, MN 55049-8044
(650) 600-0630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1348
MN
363LF0000X
Family Nurse Practitioner
R 181012-1
MN
Other
Enumeration date
07/24/2012
Last updated
09/18/2020
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