Provider Demographics
NPI:1811938236
Name:SWENSON, LINDA K (MS RD LMNT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:SWENSON
Suffix:
Gender:F
Credentials:MS RD LMNT
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4101 WOOLWORTH AVE
Mailing Address - Street 2:VA-NWIHCS DEPARTMENT 120
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1850
Mailing Address - Country:US
Mailing Address - Phone:402-995-3504
Mailing Address - Fax:402-977-5603
Practice Address - Street 1:4101 WOOLWORTH AVE
Practice Address - Street 2:VA NWIHCS DEPARTMENT 120
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1850
Practice Address - Country:US
Practice Address - Phone:402-995-3504
Practice Address - Fax:402-977-5603
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE406133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered