Individual
MR. PETER ARNOLD SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PMHNP
Contact information
Practice address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 244-7257
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
666762-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95002363
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/16/2007
Last updated
07/21/2015
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