Provider Demographics
NPI:1295014298
Name:SWANSON, REBECCA K (APRN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:K
Last Name:SWANSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:982405 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2405
Mailing Address - Country:US
Mailing Address - Phone:402-559-7955
Mailing Address - Fax:402-559-8666
Practice Address - Street 1:982168 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2168
Practice Address - Country:US
Practice Address - Phone:402-559-7257
Practice Address - Fax:402-559-6782
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2014-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE111410363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics