Provider Demographics
NPI:1841474715
Name:MACSWEENEY, SANDRA M (FNP-C, PMHNP-C)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:M
Last Name:MACSWEENEY
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-C
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:MACSWEENEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C, PMHNP-C
Mailing Address - Street 1:16954 TOLEDO BLADE BLVD FL 33954
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33954-1674
Mailing Address - Country:US
Mailing Address - Phone:941-629-6700
Mailing Address - Fax:941-629-6805
Practice Address - Street 1:16954 TOLEDO BLADE BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33954-1674
Practice Address - Country:US
Practice Address - Phone:941-629-6700
Practice Address - Fax:941-629-6805
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031252363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty