Individual
SUZETTE R SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5105 GLEN PARK PL, PEORIA, IL 61614-4688
(309) 683-8383
(309) 683-8386
Mailing address
5105 GLEN PARK PL, PEORIA, IL 61614-4688
(309) 683-8383
(309) 683-8386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201-0008719
IL
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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