Individual
MS. MARY ELLEN SWATSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AHCNS
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
510 S KINGSHIGHWAY BLVD, C B 8131, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
059839
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679769459
—
MO
05
—
ENROLLED
—
IL
Enumeration date
09/14/2007
Last updated
01/29/2018
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