Provider Demographics
NPI:1457565822
Name:SWEENEY, MEGHAN (CRNA)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SNOW CHIEF DRIVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078
Mailing Address - Country:US
Mailing Address - Phone:410-908-1546
Mailing Address - Fax:
Practice Address - Street 1:7 PARKWAY CTR
Practice Address - Street 2:SUITE 375
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3704
Practice Address - Country:US
Practice Address - Phone:412-937-5833
Practice Address - Fax:770-666-9124
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR150270367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered