ROBERT ENOCH SWANSON CRNP NPI 1508851486

NPI Information

NPI: 1508851486
Provider Name: ROBERT ENOCH SWANSON, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
13530 HIGHWAY 96
MILLPORT, AL
ZIP 35576
Phone: (205) 662-5784
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Robert Enoch Swanson, CRNP is a family nurse practitioner in Millport, AL. Robert Enoch Swanson, CRNP NPI is 1508851486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13530 HIGHWAY 96
MILLPORT, AL
ZIP 35576-522
Phone: (205) 662-5784
Fax: (205) 662-5786

The enumeration date for this NPI number is 9/15/2005 and was last updated on 6/30/2011.

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	363LF0000X	Nurse Practitioner	Family	R629014	MISSISSIPPI	No
2	363LF0000X	Nurse Practitioner	Family	1-060045	ALABAMA	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	01-3936	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	GROUP MEDICARE NUMBER
2	P16068	MEDICARE UPIN	ALABAMA
3	515-20836	OTHER	ALABAMA	BCBSAL
4	541003936	MEDICAID	ALABAMA

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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