Provider Demographics
NPI:1821159153
Name:SWIFT, KAREN E (CNM,ARNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:E
Last Name:SWIFT
Suffix:
Gender:F
Credentials:CNM,ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 LILLY RD NE STE 200
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5137
Mailing Address - Country:US
Mailing Address - Phone:360-413-8749
Mailing Address - Fax:360-413-7143
Practice Address - Street 1:615 LILLY RD NE STE 200
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5137
Practice Address - Country:US
Practice Address - Phone:360-413-8749
Practice Address - Fax:360-413-7143
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002499367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9611112Medicaid
R31582Medicare UPIN