Individual
REBECCA ANN SWAINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP-C
Contact information
Practice address
381 S MIDDLETON RD STE B, MIDDLETON, ID 83644-5369
(208) 585-6311
(208) 585-6221
Mailing address
PO BOX 277976, ATLANTA, GA 30384-7976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
N-34055
ID
363LF0000X
Family Nurse Practitioner
NP-27322
ID
Other
Enumeration date
05/01/2013
Last updated
10/02/2024
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