Provider Demographics
NPI:1295352482
Name:MCSWEENY, DANIELL (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DANIELL
Middle Name:
Last Name:MCSWEENY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 BROADWAY E
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-1369
Mailing Address - Country:US
Mailing Address - Phone:516-581-1200
Mailing Address - Fax:
Practice Address - Street 1:135 N EWING ST STE 205
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3378
Practice Address - Country:US
Practice Address - Phone:740-689-2079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00032564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily