Jeanna Swanson
Registered Nurse, Pediatrics in Roseville, MN. Individual provider (NPI-1).
NPI number1154626257
StatusActive
Last updated in NPPESJan 20, 2011
Details
- NPI
- 1154626257
- Entity type
- Individual (NPI-1)
- Name
- Jeanna Swanson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2011
- Last updated
- Jan 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0200X | Registered Nurse, Pediatrics | R 190838-9 | MN | Yes |
Practice location
2800 Cleveland Ave NRoseville, MN 55113-1126
Phone 651-642-1825
Mailing address
2800 Cleveland Ave NRoseville, MN 55113-1126
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