| NPI | 1134532567 |
|---|---|
| Former Name | HEIDI LEA SWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17016400) |
| 163W00000X Registered Nurse (Licence: VA 0001256235) | |
| 163W00000X Registered Nurse (Licence: NY 671570) | |
| 163W00000X Registered Nurse (Licence: TN 233514) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 24989) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-12-09 |