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Individual

LISA ANN SWANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
8565 S EASTERN AVE STE 150, LAS VEGAS, NV 89123-2906
(888) 709-8721
(855) 916-1766
Mailing address
8565 S EASTERN AVE STE 150, LAS VEGAS, NV 89123-2906
(888) 709-8721
(855) 916-1766

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN 3856
AZ
363LF0000X
Family Nurse Practitioner
Primary
APRN002782
NV
363LF0000X
Family Nurse Practitioner
RN139100
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
580849
AZ
Enumeration date
11/04/2010
Last updated
11/16/2023
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