Provider Demographics
NPI:1194005553
Name:SWANSON, KAREN INGRID (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:INGRID
Last Name:SWANSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:INGRID
Other - Last Name:ENGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1726 PINTO PL
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0859
Mailing Address - Country:US
Mailing Address - Phone:701-223-9631
Mailing Address - Fax:
Practice Address - Street 1:30 7TH ST W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-4335
Practice Address - Country:US
Practice Address - Phone:701-456-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR21746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily