Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 1036062 | TX |
NPI | 1083293187 |
---|---|
Provider Name | Kari Nichole Swanson |
First Address | Richardson, TX 75082-3569 |
Second Address | Plano, TX 75093-8185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2021 |
Last Update Date | 03/05/2021 |