SWADA IDDRIS RN NPI 1770903148

NPI Information

NPI: 1770903148
Provider Name: SWADA IDDRIS, RN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1434 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 618-0401
Get Directions

Swada Iddris, RN is a women's health nurse practitioner in Bronx, NY. Swada Iddris, RN NPI is 1770903148. 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:

1434 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461-507
Phone: (718) 618-0401

The NPI 1770903148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 12/29/2021.

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	163W00000X	Registered Nurse		682460	NEW YORK	No
2	363LW0102X	Nurse Practitioner	Women's Health	F421449	NEW YORK	Yes

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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