Provider Demographics
NPI:1649091828
Name:SWINTEK, ANNA MARIE (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:SWINTEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:GLANDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:470 BRANDYWINE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4847
Mailing Address - Country:US
Mailing Address - Phone:513-505-6380
Mailing Address - Fax:
Practice Address - Street 1:470 BRANDYWINE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4847
Practice Address - Country:US
Practice Address - Phone:513-505-6380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1623840163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse