Individual
SHAWNA MICHELLE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5950 UNIVERSITY AVE STE 105, WEST DES MOINES, IA 50266-7756
(515) 875-9070
(515) 875-9071
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002137
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578210006
MEDICARE PTAN
IA
Enumeration date
08/03/2010
Last updated
07/16/2024
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