Individual provider · Type 1 NPI

Samantha Kay Swanson

Nurse Practitioner · Peoria, IL

NPI number 1821679564 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

513 Swank St
Galva, IL 61434-8999

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X309017021 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821679564

Samantha Kay Swanson's National Provider Identifier is 1821679564, issued on Apr 15, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 15, 2021.