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Staci H Swan
Pediatric Nurse Practitioner in Bellevue, Washington
NPI 1235562711

Staci H Swan is a Pediatric Nurse Practitioner based in Bothell, WA and is specialized in Pediatrics. Staci H Swan practices in Bellevue, WA. The NPI Number for Staci H Swan is 1235562711 and holds a License No. AP60408810 (Washington).

The current practice location address for Staci H Swan is 1600 116Th Ave Ne Ste 304, Bellevue, WA and can be reached out via phone at 225-715-5242.

Location: 1600 116Th Ave Ne Ste 304, Bellevue, WA, 98012-8846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235562711
Provider Name
Staci H Swan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1600 116Th Ave Ne Ste 304, Bellevue, WA, 98012-8846
Phone Number
225-715-5242
Fax Number
Provider Enumeration Date
08/19/2013
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1600 116Th Ave Ne Ste 304
City
Bellevue
State
Washington
Zip
98004-3057
Phone Number
225-715-5242
Fax Number
person
Provider Business Mailing Address Details
Address
1600 116Th Ave Ne Ste 304
City
Bellevue
State
Washington
Zip
98004-3057
Phone Number
225-715-5242
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
AP60408810 (Washington)
Definition
Definition to come...
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