| NPI | 1992129985 |
|---|---|
| Former Name | HEATHER ANN SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4236) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76268) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2016-03-30 |