Individual
HEATHER ANN SWANSON-HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1601 GOLF COURSE ROAD, GRAND ITASCA CLINIC & HOSPITAL, GRAND RAPIDS, MN 55744
(218) 326-5000
Mailing address
1601 GOLF COURSE ROAD, GRAND ITASCA CLINIC & HOSPITAL, GRAND RAPIDS, MN 55744
(218) 326-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
76268
KS
363LF0000X
Family Nurse Practitioner
Primary
CNP4236
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002253
MEDICARE PTAN
KS
05
—
1992129985
—
MN
05
—
201093820A
—
KS
Enumeration date
02/11/2014
Last updated
03/30/2016
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