Provider Demographics
NPI:1730551862
Name:SWIFT, HEIDI (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:SWIFT
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 184TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-8577
Mailing Address - Country:US
Mailing Address - Phone:406-955-6418
Mailing Address - Fax:
Practice Address - Street 1:740 MCKINLEY AVE W
Practice Address - Street 2:
Practice Address - City:KELLOGG
Practice Address - State:ID
Practice Address - Zip Code:83837
Practice Address - Country:US
Practice Address - Phone:208-783-1267
Practice Address - Fax:253-968-4573
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173010363LF0000X
WAAP60856996363LF0000X
ID1971836363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily