Provider Demographics
NPI:1235812579
Name:SWEAT, SHARONA (CNP)
Entity Type:Individual
Prefix:
First Name:SHARONA
Middle Name:
Last Name:SWEAT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 MARTINDALE RD NE APT 6
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-1367
Mailing Address - Country:US
Mailing Address - Phone:330-430-9017
Mailing Address - Fax:
Practice Address - Street 1:3746 MARTINDALE RD NE APT 6
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-1367
Practice Address - Country:US
Practice Address - Phone:330-430-9017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN311508163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse