Provider Demographics
NPI:1093781270
Name:SWEARENGIN, MARY CATHERINE (ARNP, FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CATHERINE
Last Name:SWEARENGIN
Suffix:
Gender:F
Credentials:ARNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:KS
Mailing Address - Zip Code:67330-6420
Mailing Address - Country:US
Mailing Address - Phone:620-784-2312
Mailing Address - Fax:620-784-2314
Practice Address - Street 1:607 E 4TH ST
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:KS
Practice Address - Zip Code:67330
Practice Address - Country:US
Practice Address - Phone:620-784-2312
Practice Address - Fax:620-784-2314
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100446870BMedicaid
KS161164OtherBCBS
KS161164OtherBCBS
P68890Medicare UPIN