Individual
ROBERT ENOCH SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
13530 HIGHWAY 96, MILLPORT, AL 35576-2522
(205) 662-5784
(205) 662-5786
Mailing address
13530 HIGHWAY 96, MILLPORT, AL 35576-2522
(205) 662-5784
(205) 662-5786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-060045
AL
363LF0000X
Family Nurse Practitioner
R629014
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-20836
BCBSAL
AL
05
—
541003936
—
AL
Enumeration date
09/15/2005
Last updated
06/30/2011
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