SWANSON FAMILY PRACTICE LLC NPI 1104461870

NPI Information

NPI: 1104461870
Provider Name: SWANSON FAMILY PRACTICE LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2176023

Address:
733 N LOGAN AVE STE 1
DANVILLE, IL
ZIP 61832
Phone: (217) 552-6687
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SWANSON FAMILY PRACTICE LLC is a primary care nurse practitioner in Danville, IL. SWANSON FAMILY PRACTICE LLC NPI is 1104461870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

733 N LOGAN AVE STE 1
DANVILLE, IL
ZIP 61832-378
Phone: (217) 552-6687

The provider's authorized official is Dina Swanson .
The authorized official title is Nurse Practitioner and has the following contact phone number (217) 552-6687.

The CLIA number assigned to this NPI record is 14D2176023 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2019 and was last updated on 11/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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