Individual
REBECCA SHAWN SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4777 88TH AVE, KENOSHA, WI 53144-7439
(262) 605-5854
(262) 605-5903
Mailing address
4777 88TH AVE, KENOSHA, WI 53144-7439
(262) 605-5854
(262) 605-5903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5033-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5033-33
WI
Other
Enumeration date
03/05/2013
Last updated
04/27/2020
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