Swenson, Tiffany D

Swenson, Tiffany D is an individual health care provider with primary practice located at 1401 13Th Ave E , West Fargo ND 58078-3468. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Swenson, Tiffany D can be contacted via phone (701) 364-5751.

Contact Information

Primary practice address
1401 13Th Ave E West Fargo ND 58078-3468
Phone: (701) 364-5751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0403 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0403 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10357 Minnesota

Profile Details

NPI number 1619164654
LBN Legal business name Swenson, Tiffany D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Jan 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619164654 NPPES
Other 1053111 PREFERRED ONE
Other PENDING PREFERRED ONE
Other 30111 PREFERRED ONE
Other HP84398 PREFERRED ONE
MEDICAID 325452000 PREFERRED ONE
Other 0128334 PREFERRED ONE

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