Provider Demographics
NPI:1780784850
Name:SWANTON, KERRY ANNE (MSN,RN,CPNP)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ANNE
Last Name:SWANTON
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Gender:F
Credentials:MSN,RN,CPNP
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR STE J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:49650 CHERRY HILL RD STE 210
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4859
Practice Address - Country:US
Practice Address - Phone:734-398-7899
Practice Address - Fax:734-398-7895
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2019-07-10
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.08720-NP363LP0200X
MI4704228715363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics