Individual
SHANNON SWIDERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, FNP-C
Contact information
Practice address
19283 STATE HIGHWAY 59, SUMMERDALE, AL 36580-3005
(251) 523-5437
(866) 628-7517
Mailing address
PO BOX 280, GULF BREEZE, FL 32562-0280
(850) 932-5055
(850) 932-1404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-137654
AL
363LP0200X
Pediatric Nurse Practitioner
APRN11012182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-137654
ALABAMA BOARD OF NURSING
AL
Enumeration date
03/09/2021
Last updated
02/24/2025
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