Individual
STACEY ANN SWINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.437483
IL
207N00000X
Dermatology Physician
Primary
29449
SC
363LF0000X
Family Nurse Practitioner
351801
NY
363LF0000X
Family Nurse Practitioner
R253460
MD
Other
Enumeration date
04/12/2021
Last updated
07/14/2025
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