Provider Demographics
NPI:1215336664
Name:SWOR, RACHEL MARIE (APRN, CNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:SWOR
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:1000 E 1ST ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2297
Mailing Address - Country:US
Mailing Address - Phone:218-249-3306
Mailing Address - Fax:218-249-7999
Practice Address - Street 1:1000 E 1ST ST STE 204
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2297
Practice Address - Country:US
Practice Address - Phone:218-249-3306
Practice Address - Fax:218-249-5613
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6115-33363LF0000X
MNR198102-1363LF0000X
MNCNP4361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily