| Mary C Swenson, CRNA | |
|
24 Joliet St, Dyer, IN 46311-1705 | |
| (219) 865-2141 | |
| Not Available |
| Full Name | Mary C Swenson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 24 Joliet St, Dyer, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891198008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28212269A (Indiana) | Primary |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Swenson, CRNA 6225 N. State Hwy 161, Ste. 200, Irving, TX 75038-2241 Ph: (214) 687-0496 | Mary C Swenson, CRNA 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 865-2141 |
Kimbra Click, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Aja Simone Rivera, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-932-2300 | |
Thomas Rynne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Mindy Ruan, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Amanda Brittney Hatamleh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 | |
Amanda J Arredondo, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 |