Provider Demographics
NPI:1376225946
Name:SWENSON, KRISTIN SHANNON (RN, CNM, ARNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:SHANNON
Last Name:SWENSON
Suffix:
Gender:F
Credentials:RN, CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10977 47TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-8349
Mailing Address - Country:US
Mailing Address - Phone:206-940-1109
Mailing Address - Fax:
Practice Address - Street 1:10977 47TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-8349
Practice Address - Country:US
Practice Address - Phone:206-940-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife