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ROBERT ENOCH SWANSON CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1508851486

Individual Registrant:
 ROBERT ENOCH SWANSON CRNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13530 HIGHWAY 96  MILLPORT, AL 35576-2522 US
Tel: 205-662-5784  Fax: 205-662-5786

Contact information for business:
13530 HIGHWAY 96  MILLPORT, AL 35576-2522 US
Tel: 205-662-5784  Fax: 205-662-5786

Registration Information:
NPI: 1508851486
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-060045
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MSR629014

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
541003936AL05
BCBSAL515-20836AL01




HEALTH CARE JOBS AL - Page 1



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