Provider Demographics
NPI:1851673347
Name:SWENSON, BRITTANY (AA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:SWENSON
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:E
Other - Last Name:ROWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AA
Mailing Address - Street 1:PO BOX 551420
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33355-1420
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-839-2569
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO # 106000
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-1281
Practice Address - Country:US
Practice Address - Phone:505-272-3119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367H00000X
GA006267367H00000X
NMAA2020-001367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant