Provider Demographics
NPI:1306027099
Name:SWEED, MARGOT ROBERTS (CRNP ANP BC)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:ROBERTS
Last Name:SWEED
Suffix:
Gender:F
Credentials:CRNP ANP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4551
Mailing Address - Country:US
Mailing Address - Phone:215-823-4282
Mailing Address - Fax:215-823-4179
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-4282
Practice Address - Fax:215-823-4179
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN242846L163W00000X
PATP005127C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
2021052OtherBLUE SHIELD
1490775OtherCIGNA
1490775OtherCIGNA