Provider Demographics
NPI:1487639712
Name:SWISHER, ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:SWISHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 PRAIRIE PKWY
Mailing Address - Street 2:STE 203
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8155
Mailing Address - Country:US
Mailing Address - Phone:319-222-2903
Mailing Address - Fax:319-222-2993
Practice Address - Street 1:5100 PRAIRIE PKWY
Practice Address - Street 2:STE 203
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-8155
Practice Address - Country:US
Practice Address - Phone:319-222-2903
Practice Address - Fax:319-222-2993
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC-061686363L00000X
IAA-061686363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0076372Medicaid
IA54063OtherWELLMARK
IA54063OtherWELLMARK
IA54063OtherWELLMARK