Swanson, Audrey Phillips

Swanson, Audrey Phillips is an individual health care provider with primary practice located at 3160 W Main St Ste 6 , Dothan AL 36305-1180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Swanson, Audrey Phillips can be contacted via phone (334) 678-9123.

Contact Information

Primary practice address
3160 W Main St Ste 6 Dothan AL 36305-1180
Phone: (334) 678-9123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A0310068 Alabama

Profile Details

NPI number 1902122591
LBN Legal business name Swanson, Audrey Phillips
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2010
Last updated Jan 22nd, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902122591 NPPES
Alabama Other A0310068 CERTIFIED NURSE PRACTITIONER NUMBER

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