Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 229243 | NC |
N | 2080P0202X | Pediatric Cardiologist | 229243 | NC |
Y | 2080P0202X | Pediatric Cardiologist | 31848 | NE |
NPI | 1194036939 |
---|---|
Provider Name | Dr. Sara K Swanson |
First Address | Omaha, NE 68114-4113 |
Second Address | Omaha, NE 68114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2010 |
Last Update Date | 27/09/2019 |