Individual
SAMANTHA KAY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8500
Mailing address
513 SWANK ST, GALVA, IL 61434-8999
(618) 978-4287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309017021
IL
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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