Individual
BRENDA L SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1351 W CENTRAL PARK AVE, STE 4100, DAVENPORT, IA 52804-1847
(563) 383-2581
(563) 328-5770
Mailing address
3200 WEST KIMBERLY ROAD, SUITE 100, DAVENPORT, IA 52806
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C065518
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424903
—
IA
01
—
063069
HEALTH ALLIANCE
—
01
—
19775
IOWA HEALTH SOLUTIONS
—
01
—
29743
WELLMARK HEALTH PLANS
—
01
—
IA0157
JOHN DEERE HEALTH PLANS
—
Enumeration date
06/24/2005
Last updated
01/29/2019
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