Swanson, Stephanie
Swanson, Stephanie is an individual health care provider with primary practice located at 1125 Davis Blvd Ste 100 , Southlake TX 76092. 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, Stephanie can be contacted via phone (817) 488-1956.Contact Information
Primary practice address
1125 Davis Blvd Ste 100
Southlake TX 76092
Phone: (817) 488-1956
Fax: (813) 488-8675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F334028 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP135304 | Texas |
Profile Details
| NPI number | 1750306882 |
|---|---|
| LBN Legal business name | Swanson, Stephanie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1750306882 | NPPES |
| New York | MEDICAID | 02777402 |
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