Provider Demographics
NPI:1942521851
Name:SWIMM, LOURIE ANN (FNP)
Entity Type:Individual
Prefix:
First Name:LOURIE
Middle Name:ANN
Last Name:SWIMM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SACO AVE
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-2145
Mailing Address - Country:US
Mailing Address - Phone:207-937-8254
Mailing Address - Fax:
Practice Address - Street 1:155 SACO AVE STE 2
Practice Address - Street 2:
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-1600
Practice Address - Country:US
Practice Address - Phone:207-937-8254
Practice Address - Fax:207-937-8529
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP101027363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily