Provider Demographics
NPI:1902008147
Name:SWEENEY, DONNA ELAINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ELAINE
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:ELAINE
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:85 PENARROW DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-4226
Mailing Address - Country:US
Mailing Address - Phone:716-694-6994
Mailing Address - Fax:
Practice Address - Street 1:2128 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1910
Practice Address - Country:US
Practice Address - Phone:716-874-5600
Practice Address - Fax:716-874-0388
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269614163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse