Shevalier Swanson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ione, CA

NPI 1437845708 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1437845708
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
4001 Highway104
Ione, CA 95640
Phone
(209) 274-4911
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Yes

Addresses

Primary practice location

4001 Highway104
Ione, CA 95640

Mailing address

PO Box 2183
Stockton, CA 95201-2183

Other practice location 1

1151 W Robinhood Dr Ste C10
Stockton, CA 95207-5628
Phone (209) 292-8708

Other providers in Ione, CA

All providers in Ione, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.