Christine Swan, R.D.N., C.D.
Individual provider Active NPI Registered Dietitian · Fennimore, WI
NPI 1700204708 · NPPES record last updated Jun 2, 2015
Key facts
- NPI
- 1700204708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 643584 (WI)
- Practice address
- 14065 Birdseye Rd
Fennimore, WI 53809-9660 - Phone
- (608) 822-6643
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643584 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 643584 | WI | Yes |
Addresses
Primary practice location
14065 Birdseye Rd
Fennimore, WI 53809-9660
Mailing address
14065 Birdseye Rd
Fennimore, WI 53809-9660
Phone (608) 822-6643
Other providers in Fennimore, WI
- Prairie Du Chien Memorial Hospital Assoc Inc
- Brian A Quick
- Bradley Ethan Robb
- Jennifer Schoepp
- Nicole Mirene Shepard
- The Evangelical Lutheran Good Samaritan Society
- Unified Therapy Services, Inc
- Sally Walmer
- Macy Wanek
- Bridget Ann Wilson
All providers in Fennimore, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.