Provider Demographics
NPI:1821352949
Name:SYLVIA SWEATT FAMILY PRACTICE,LLC
Entity Type:Organization
Organization Name:SYLVIA SWEATT FAMILY PRACTICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED REGISTERED NURSE PRACTICIO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWEATT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-302-6051
Mailing Address - Street 1:2707 BRECKENRIDGE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1385
Mailing Address - Country:US
Mailing Address - Phone:270-302-6051
Mailing Address - Fax:
Practice Address - Street 1:2707 BRECKENRIDGE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1385
Practice Address - Country:US
Practice Address - Phone:270-302-6051
Practice Address - Fax:270-683-1848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003593363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty