Provider Demographics
NPI:1538146899
Name:SWANDA, ERIN J (ARNP CNM)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:J
Last Name:SWANDA
Suffix:
Gender:F
Credentials:ARNP CNM
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:J
Other - Last Name:SCHRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5096
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-5096
Mailing Address - Country:US
Mailing Address - Phone:360-738-2200
Mailing Address - Fax:360-752-5282
Practice Address - Street 1:4545 CORDATA PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-7123
Practice Address - Country:US
Practice Address - Phone:360-738-2200
Practice Address - Fax:360-752-5282
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007122207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1538146899Medicaid
WA1538146899OtherTRICARE
WA9646829Medicaid
WA0285493OtherL&I AND CRIME VICTIMS
WA1079SWOtherREGENCY
WA1538146899Medicaid