Individual
ANNMARIE E SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3204-033
WI
363LA2200X
Adult Health Nurse Practitioner
3204
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36053000
—
WI
Enumeration date
10/03/2007
Last updated
02/08/2021
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