Provider Demographics
NPI:1912574443
Name:SWANSON, CHRISTOPHER R (APRN, FNP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:SWANSON
Suffix:
Gender:
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 MATAWAN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2653
Mailing Address - Country:US
Mailing Address - Phone:732-441-7177
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:100 CAMPUS TOWN CIR STE 100
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-1962
Practice Address - Country:US
Practice Address - Phone:609-799-7009
Practice Address - Fax:609-799-7808
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01292500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily