Provider Demographics
NPI:1366212417
Name:SWANNER, DANIJELA (RN)
Entity type:Individual
Prefix:
First Name:DANIJELA
Middle Name:
Last Name:SWANNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 TOWER BUTTE RD
Mailing Address - Street 2:
Mailing Address - City:PAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:86040-1450
Mailing Address - Country:US
Mailing Address - Phone:602-910-8428
Mailing Address - Fax:
Practice Address - Street 1:500 S NAVAJO DR
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:AZ
Practice Address - Zip Code:86040-1397
Practice Address - Country:US
Practice Address - Phone:928-608-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ219120163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse