Provider Demographics
NPI:1689136434
Name:SWENEY, BETH NEEDHAM (PA-C)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:NEEDHAM
Last Name:SWENEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6741 FULTON ST E
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-9502
Mailing Address - Country:US
Mailing Address - Phone:616-320-5450
Mailing Address - Fax:616-459-0313
Practice Address - Street 1:6741 FULTON ST E
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-9502
Practice Address - Country:US
Practice Address - Phone:616-320-5450
Practice Address - Fax:616-459-0313
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601009052363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant