Individual
JEANETTE S SWAYZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
649 COUNTY ROAD 515, IGNACIO, CO 81137-9711
(970) 884-2479
Mailing address
649 COUNTY ROAD 515, IGNACIO, CO 81137-9711
(970) 884-2479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R16525
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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