Provider Demographics
NPI:1447882261
Name:SWIFT, TANYA S
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:S
Last Name:SWIFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 SPRING VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9143
Mailing Address - Country:US
Mailing Address - Phone:651-278-5582
Mailing Address - Fax:
Practice Address - Street 1:8750 SPRING VIEW WAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9143
Practice Address - Country:US
Practice Address - Phone:651-278-5582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty