Provider Demographics
NPI:1972341030
Name:SWENSON, ALLISON KAY (DNP FNP-C)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:KAY
Last Name:SWENSON
Suffix:
Gender:F
Credentials:DNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2874 W SHADY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5716
Mailing Address - Country:US
Mailing Address - Phone:801-753-7041
Mailing Address - Fax:
Practice Address - Street 1:2874 W SHADY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5716
Practice Address - Country:US
Practice Address - Phone:801-753-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT342601-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner