Provider Demographics
NPI:1245237452
Name:SWEATT, SYLVIA LORRAINE (APRN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:LORRAINE
Last Name:SWEATT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 BRECKENRIDGE ST
Mailing Address - Street 2:STE 2
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1385
Mailing Address - Country:US
Mailing Address - Phone:270-683-1808
Mailing Address - Fax:270-683-1848
Practice Address - Street 1:2200 E PARRISH AVE STE 201
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-688-1670
Practice Address - Fax:270-688-1680
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK049160OtherMEDICARE
KY78006723Medicaid
KYK049160OtherMEDICARE