Provider Demographics
NPI:1497877260
Name:SWEET, ELIZABETH O'ROURKE (PNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:O'ROURKE
Last Name:SWEET
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:404 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2428
Mailing Address - Country:US
Mailing Address - Phone:610-444-6250
Mailing Address - Fax:
Practice Address - Street 1:501 OGLETOWN RD
Practice Address - Street 2:HUDSON STATE SERVICE CENTER, CHILD HEALTH CLINIC
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5403
Practice Address - Country:US
Practice Address - Phone:302-283-7587
Practice Address - Fax:302-283-7556
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELJ-0000101363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics