Individual
MS. MISTY B SWENDRYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
4612 N HABANA AVE FL 2, TAMPA, FL 33614-7101
(813) 875-9000
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN9287232
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9287232
FL
363LA2100X
Acute Care Nurse Practitioner
RN9287232
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9287232
FL
363LA2200X
Adult Health Nurse Practitioner
RN9287232
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9287232
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9287232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024200200
—
FL
Enumeration date
10/24/2017
Last updated
12/10/2021
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