Provider Demographics
NPI:1326340704
Name:SWANBECK, MARLENE (APN)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:SWANBECK
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N ARLINGTON AVE
Mailing Address - Street 2:SUITE 555
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4460
Mailing Address - Country:US
Mailing Address - Phone:775-770-3304
Mailing Address - Fax:775-770-3880
Practice Address - Street 1:645 N ARLINGTON AVE
Practice Address - Street 2:SUITE 555
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4460
Practice Address - Country:US
Practice Address - Phone:775-770-3304
Practice Address - Fax:775-770-3880
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily