Individual
JAY RICHARD SWANSON
Active
Individual
JAY RICHARD SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
715559
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307721
NY
Other
Enumeration date
06/20/2012
Last updated
03/22/2017
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