Provider Demographics
NPI:1215798871
Name:SWINSON, ANDREA MONIQUE (FNP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:MONIQUE
Last Name:SWINSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MONIQUE
Other - Last Name:BRITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1420 ELBE ST
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4368
Mailing Address - Country:US
Mailing Address - Phone:512-680-7274
Mailing Address - Fax:
Practice Address - Street 1:1420 ELBE ST
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4368
Practice Address - Country:US
Practice Address - Phone:512-680-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1146129363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily