Provider Demographics
NPI:1093064826
Name:SWEET, NORMA E (DNP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:E
Last Name:SWEET
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 VIOLA CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7089
Mailing Address - Country:US
Mailing Address - Phone:843-421-0380
Mailing Address - Fax:
Practice Address - Street 1:120 HIGHLAND CENTER DR STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9128
Practice Address - Country:US
Practice Address - Phone:803-419-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCBP018OtherMEDICAID GROUP NUMBER
SCFQC031OtherMEDICAID GROUP NUMBER
SC4350OtherMEDICARE B GROUP NUMBER