Swanson, Brenda L

Swanson, Brenda L is an individual health care provider with primary practice located at 1351 W Central Park Ave Ste 4100, Davenport IA 52804-1847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Swanson, Brenda L can be contacted via phone (563) 383-2581.

Contact Information

Primary practice address
1351 W Central Park Ave Ste 4100 Davenport IA 52804-1847
Phone: (563) 383-2581
Fax: (563) 328-5770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C065518 Iowa

Profile Details

NPI number 1255337176
LBN Legal business name Swanson, Brenda L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jan 29th, 2019 - about 7 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 1255337176 NPPES
Other 19775 IOWA HEALTH SOLUTIONS
MEDICAID 0424903 IOWA HEALTH SOLUTIONS
Other 29743 IOWA HEALTH SOLUTIONS
Other 063069 IOWA HEALTH SOLUTIONS
Other IA0157 IOWA HEALTH SOLUTIONS

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