Swann, Peggy Sue
Swann, Peggy Sue is an individual health care provider with primary practice located at 15901 Bass Rd Ste 102 , Fort Myers FL 33908-3838. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Swann, Peggy Sue can be contacted via phone (239) 343-9890.Contact Information
Primary practice address
15901 Bass Rd Ste 102
Fort Myers FL 33908-3838
Phone: (239) 343-9890
Fax: (239) 343-9898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 3403802 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP3403802 | Florida |
Profile Details
| NPI number | 1043754062 |
|---|---|
| LBN Legal business name | Swann, Peggy Sue |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2016 |
| Last updated | Mar 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043754062 | NPPES |
| Florida | MEDICAID | 021484000 |
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