Provider Demographics
NPI:1750675799
Name:SWAN, BARBARA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:SWAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SOUTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5465
Mailing Address - Country:US
Mailing Address - Phone:802-338-2372
Mailing Address - Fax:802-419-4773
Practice Address - Street 1:20 WINOOSKI FALLS WAY
Practice Address - Street 2:SUITE 400
Practice Address - City:WINOOSKI
Practice Address - State:VT
Practice Address - Zip Code:05404-2228
Practice Address - Country:US
Practice Address - Phone:802-857-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0015938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily