Provider Demographics
NPI:1588436950
Name:SWANGLER, WENDI ANN
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:ANN
Last Name:SWANGLER
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 1:2750 S 38TH ST APT 123
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5969
Mailing Address - Country:US
Mailing Address - Phone:701-317-0433
Mailing Address - Fax:
Practice Address - Street 1:2750 S 38TH ST APT 123
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5969
Practice Address - Country:US
Practice Address - Phone:701-317-0433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374700000XNursing Service Related ProvidersTechnician