Individual provider · Type 1 NPI
Clarissa Ann Swan
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1699231704
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
19801 100th Ave
Hollis, NY 11423-3315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F308908-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1699231704
Clarissa Ann Swan's National Provider Identifier is 1699231704, issued on Feb 13, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 22, 2019.