Individual
MS. CONNIE SHEPHERD SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP/MSN
Contact information
Practice address
6758 RIDGEWAY DR, HOUSTON, TX 77087-5938
(713) 649-4860
Mailing address
6758 RIDGEWAY DR, HOUSTON, TX 77087-5938
(713) 649-4860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224525
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
224525
TX
Other
Enumeration date
08/08/2009
Last updated
08/08/2009
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