Nicholas David Swenson
Family Medicine in Federal Way, WA. Individual provider (NPI-1).
NPI number1982109195
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1982109195
- Entity type
- Individual (NPI-1)
- Name
- Nicholas David Swenson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61153487 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
33431 13th Pl SFederal Way, WA 98003-6357
Phone 253-874-7634
Mailing address
955 Powell Ave SwRenton, WA 98057-2908
Phone 425-277-1311 · Fax 425-277-1566
Other practice locations
1026 7th St W
Saint Paul, MN 55102-3828
Saint Paul, MN 55102-3828
Phone 651-241-1000
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