Provider Demographics
NPI:1043105653
Name:SWEET, TERI L (WHNP- BC)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:L
Last Name:SWEET
Suffix:
Gender:F
Credentials:WHNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-3336
Mailing Address - Country:US
Mailing Address - Phone:517-282-3245
Mailing Address - Fax:
Practice Address - Street 1:1010 N LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-2339
Practice Address - Country:US
Practice Address - Phone:810-733-7791
Practice Address - Fax:810-733-7898
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704226220363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health