Provider Demographics
NPI:1770198889
Name:SWEIGART, AMBER FUNK (CRNP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:FUNK
Last Name:SWEIGART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:N
Other - Last Name:BANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-721-4740
Mailing Address - Fax:717-738-6872
Practice Address - Street 1:2150 NOLL DR STE 100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7605
Practice Address - Country:US
Practice Address - Phone:717-299-8933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022458363L00000X, 363LF0000X, 363LP0200X
PARN650416363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics