Provider Demographics
NPI:1558922252
Name:SWEET, MEAGAN CATHLEEN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:CATHLEEN
Last Name:SWEET
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4988 STATE HWY 30
Mailing Address - Street 2:MONTGOMERY COUNTY ADULT OP ADDICTION CLINIC
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-843-4410
Mailing Address - Fax:518-843-4434
Practice Address - Street 1:4988 STATE HWY 30
Practice Address - Street 2:MONTGOMERY COUNTY ADULT OP ADDICTION CLINIC
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-843-4410
Practice Address - Fax:518-843-4434
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344556364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health