Individual
AMY SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
275 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-7777
(321) 799-1550
Mailing address
11030 SE 83RD TER, NEWBERRY, FL 32669-7416
(352) 474-4116
(347) 851-8556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9294106
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11030543
FL
363LG0600X
Gerontology Nurse Practitioner
11030543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11030543
APRN
FL
Enumeration date
01/09/2024
Last updated
03/19/2026
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