Provider Demographics
NPI:1184788895
Name:SWEET, PHILIP (NP MSN APRN BC)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:SWEET
Suffix:
Gender:M
Credentials:NP MSN APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:2093 PARTRIDGE PT RD
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-5122
Mailing Address - Country:US
Mailing Address - Phone:989-356-9691
Mailing Address - Fax:
Practice Address - Street 1:1501 W. CHISHOLM
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707
Practice Address - Country:US
Practice Address - Phone:989-356-7379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMDAC101986101YA0400X
MI4704107033363LP0808X
MI364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Not Answered364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health