Individual
MRS. THERESA MARIE SWIFT
Active
Individual
MRS. THERESA MARIE SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150300A
IN
163W00000X
Registered Nurse
3007658
KY
163W00000X
Registered Nurse
574749
TX
163W00000X
Registered Nurse
9271688
FL
367500000X
Certified Registered Nurse Anesthetist
209-000388
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9271688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008321200
—
FL
01
—
09223524
BC/BS GROUP ID NO.
IL
01
—
216564000
WORKMAN'S COMP GROUP ID
IL
01
—
371390028001
TRICARE GROUP ID NO.
IL
01
—
430068235
RR MEDICARE PIN
IL
01
—
CG3273
RR MEDICARE GROUP ID NO.
IL
01
—
GV765Y
MEDICARE PTAN
FL
Enumeration date
11/15/2005
Last updated
07/02/2013
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