Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN.0996647-NP | CO |
NPI | 1023689692 |
---|---|
Provider Name | Ms. Traci Ann Swett |
First Address | Lakewood, CO 80214-1634 |
Second Address | Arvada, CO 80005-3926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2021 |
Last Update Date | 12/07/2021 |