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Individual

KRISTI LYNN SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
110 HAMPTON POINT DR, SAINT AUGUSTINE, FL 32092
(904) 484-7772
(904) 390-7437
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9327726
FL
363L00000X
Nurse Practitioner
Primary
APRN11009264
FL
363LF0000X
Family Nurse Practitioner
11009264
FL
363LF0000X
Family Nurse Practitioner
APRN11009264
FL

Other

Enumeration date
04/01/2019
Last updated
03/25/2021
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