MS. MISTY B SWENDRYCK DNP APRN AGACNP-BC NPI 1477064988

NPI Information

NPI: 1477064988
Provider Name: MS. MISTY B SWENDRYCK, DNP, APRN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
4612 N HABANA AVE FL 2
TAMPA, FL
ZIP 33614
Phone: (813) 875-9000
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MS. Misty B Swendryck, DNP, APRN, AGACNP-BC is an acute care nurse practitioner in Tampa, FL. MS. Misty B Swendryck, DNP, APRN, AGACNP-BC NPI is 1477064988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4612 N HABANA AVE FL 2
TAMPA, FL
ZIP 33614-101
Phone: (813) 875-9000

The NPI 1477064988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 12/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN9287232	FLORIDA	No
2	363LA2100X	Nurse Practitioner	Acute Care	RN9287232	FLORIDA	No
3	363LA2200X	Nurse Practitioner	Adult Health	APRN9287232	FLORIDA	No
4	363LA2200X	Nurse Practitioner	Adult Health	RN9287232	FLORIDA	No
5	363LG0600X	Nurse Practitioner	Gerontology	APRN9287232	FLORIDA	No
6	363LP2300X	Nurse Practitioner	Primary Care	ARNP9287232	FLORIDA	No
7	363LA2100X	Nurse Practitioner	Acute Care	APRN9287232	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	024200200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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