Provider Demographics
NPI:1891084430
Name:SWANSON, DANIELLE N
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:N
Last Name:SWANSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6435 KIRBY TREES DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-4101
Mailing Address - Country:US
Mailing Address - Phone:901-596-7325
Mailing Address - Fax:
Practice Address - Street 1:6435 KIRBY TREE DR.
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-4101
Practice Address - Country:US
Practice Address - Phone:901-596-7325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN116938057374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide