Individual
MRS. MISTY DAWN SWIERCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 S PINE ST, VALLEY, NE 68064-4400
(402) 359-2277
(402) 359-5432
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1479
NE
363AM0700X
Medical Physician Assistant
2466
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1710170493
—
IA
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731761
—
NE
Enumeration date
08/25/2007
Last updated
05/19/2016
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