Provider Demographics
NPI:1558097162
Name:SWEENEY, ELIZABETH ASHTON BALLINGER (AGNP-PC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ASHTON BALLINGER
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:AGNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5451 S HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1424
Mailing Address - Country:US
Mailing Address - Phone:901-219-7272
Mailing Address - Fax:
Practice Address - Street 1:5451 S HICKORY ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1424
Practice Address - Country:US
Practice Address - Phone:901-219-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997815-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty