Provider Demographics
NPI:1548300924
Name:SWOPE, GIA (NP)
Entity type:Individual
Prefix:
First Name:GIA
Middle Name:
Last Name:SWOPE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13967 W WAINWRIGHT DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-2094
Mailing Address - Country:US
Mailing Address - Phone:208-672-8731
Mailing Address - Fax:208-321-0865
Practice Address - Street 1:13967 W WAINWRIGHT DR
Practice Address - Street 2:SUITE 103
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-2094
Practice Address - Country:US
Practice Address - Phone:208-672-8731
Practice Address - Fax:208-321-0865
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDNP454A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health