Individual
EILEEN M SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1534 ELIZABETH AVE STE 201, SHREVEPORT, LA 71101-4531
(318) 629-5505
(318) 629-5506
Mailing address
1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04798
LA
363L00000X
Nurse Practitioner
RN102394
LA
Other
Enumeration date
02/26/2007
Last updated
07/31/2020
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