Individual provider · Type 1 NPI

Nickalaus Phillip Swan, NP

Acute Care Nurse Practitioner · Fort Worth, TX

NPI number 1265962500 Active

Practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104

Mailing address

3804 Rock Bluff Dr
Dallas, TX 75227-5661

Other practice locations

  • 5200 Harry Hines Blvd, Dallas, TX 75235-7709 · (972) 281-7071

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP137514 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1265962500

Nickalaus Phillip Swan, NP's National Provider Identifier is 1265962500, issued on Jun 19, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 30, 2018.