| Diana L Swanson, MSN, APRN, WHNP-BC | |
|
6000 Bond Ave, Centreville, IL 62207-2328 | |
| (618) 332-2740 | |
| (618) 733-7654 |
| Full Name | Diana L Swanson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 6000 Bond Ave, Centreville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518625854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 209024467 (Illinois) | Primary |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana L Swanson, MSN, APRN, WHNP-BC 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2740 | Diana L Swanson, MSN, APRN, WHNP-BC 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2740 |
Ms. Bonnie J Summers, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2740 Fax: 618-337-6039 | |
Mr. Reginald Patrick Wince Sr., NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5900 Bond Ave, Centreville, IL 62207 Phone: 618-332-3060 Fax: 618-332-5297 | |
Ms. Susan Thoma Rauckman, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bond Ave, Centreville, IL 62207 Phone: 618-332-2083 Fax: 618-337-6039 |