Individual
MRS. DIANA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 WILLOW ST, NASHVILLE, IN 47448-7604
(812) 988-2231
(812) 988-2232
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000013A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200093860
—
IN
Enumeration date
05/12/2006
Last updated
12/23/2020
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