Provider Demographics
NPI:1720730179
Name:SWENDSEN, DAWN M (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:SWENDSEN
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 ADELAIDE DR
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-9746
Mailing Address - Country:US
Mailing Address - Phone:206-963-1780
Mailing Address - Fax:
Practice Address - Street 1:2436 ADELAIDE DR
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179-9746
Practice Address - Country:US
Practice Address - Phone:206-963-1780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30845367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife