Swanson, Jane
Swanson, Jane is an individual health care provider with primary practice located at 855 Anthony Dr , Anthony NM 88021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Swanson, Jane can be contacted via phone (575) 882-5706.Contact Information
Primary practice address
855 Anthony Dr
Anthony NM 88021
Phone: (575) 882-5706
Fax: (575) 882-2909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-02643 | New Mexico |
Profile Details
NPI number | 1497140230 |
---|---|
LBN Legal business name | Swanson, Jane |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2015 |
Last updated | Aug 29th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497140230 | NPPES |
New Mexico | MEDICAID | 68871589 | |
New Mexico | Other | 434930YRND |
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