Provider Demographics
NPI:1932192390
Name:SWAILES, ERIN A (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:A
Last Name:SWAILES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:A
Other - Last Name:KUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1951 51ST ST NE STE 1
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2460
Mailing Address - Country:US
Mailing Address - Phone:319-449-4052
Mailing Address - Fax:319-449-4153
Practice Address - Street 1:1951 51ST ST NE STE 1
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2460
Practice Address - Country:US
Practice Address - Phone:319-449-4052
Practice Address - Fax:319-449-4153
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA037108422363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA019254Medicaid
OTH000Medicare UPIN
IA019254Medicaid