Individual
WENDY SWOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC
Contact information
Practice address
2280 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 227-2100
(208) 227-2362
Mailing address
PO BOX 742358, ATLANTA, GA 30374-2358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-794A
ID
Other
Enumeration date
03/29/2007
Last updated
11/20/2020
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