Individual
KATIE MAE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6000 UNIVERSITY AVE STE 124, WEST DES MOINES, IA 50266-8291
(515) 241-2020
Mailing address
18 5TH ST, JOHNSTON, IA 50131-2428
(319) 404-5577
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A162591
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5206666
CSA
IA
Enumeration date
06/30/2021
Last updated
06/30/2021
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