Individual
NICOLE SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-3450
(812) 353-3451
Mailing address
140 WHITTINGTON PKWY 100, LOUISVILLE, KY 40222-4930
(502) 777-1780
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200976440
—
IN
05
—
78007408
—
KY
Enumeration date
05/31/2007
Last updated
04/24/2020
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