Individual
SHAUNTEL A SWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1641 3RD ST, RENSSELAER, NY 12144
(518) 270-2800
(518) 270-2723
Mailing address
1600 7TH AVE STE 3, TROY, NY 12180-3410
(518) 463-8869
(518) 270-2707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661414-1
NY
363LF0000X
Family Nurse Practitioner
341852
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402615-1
NY
Other
Enumeration date
07/18/2018
Last updated
03/19/2021
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