Individual provider · Type 1 NPI
Swarna Gummadi
Acute Care Nurse Practitioner · Lake Zurich, IL
NPI number
1659080380
Active
Practice location
25 Telser Rd Unit 1057
Lake Zurich, IL 60047-3647
Mailing address
62 Kettell Ave
Yonkers, NY 10704-2211
Other practice locations
- 55 Fruit St, Boston, MA 02114-2696 · (617) 726-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041541780 (IL) |
| Ambulatory Care Registered Nurse | 163WP2201X | RN2348431 (MA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209027141 (IL) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1659080380
Swarna Gummadi's National Provider Identifier is 1659080380, issued on Nov 21, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lake Zurich, IL. The record was last updated on Aug 20, 2023.