Individual
TIFFANY D SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5257 27TH ST S STE 201, FARGO, ND 58104-7782
(701) 356-5503
Mailing address
5257 27TH ST S STE 201, FARGO, ND 58104-7782
(701) 356-5503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10357
MN
363A00000X
Physician Assistant
Primary
PAC0403
ND
363AM0700X
Medical Physician Assistant
PAC0403
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128334
MEDICA
—
01
—
1053111
PREFERRED ONE
—
01
—
30111
BCBS
ND
05
—
325452000
—
MN
01
—
HP84398
HEALTH PARTNERS
—
01
—
PENDING
MN BCBS
MN
Enumeration date
10/03/2007
Last updated
04/28/2026
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