Individual provider · NPI-1
Kelli Swaner
Registered Nurse, General Practice · Idaho Falls, ID
NPI number1952274110
StatusActive
Last updated in NPPESSep 24, 2025
Details
- NPI
- 1952274110
- Entity type
- Individual (NPI-1)
- Name
- Kelli Swaner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2025
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 56474 | ID | Yes |
Practice location
5010 Rock Creek DrIdaho Falls, ID 83401-6531
Phone 208-284-9153
Mailing address
5010 Rock Creek DrIdaho Falls, ID 83401-6531
Phone 208-284-9153
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